Provider Demographics
NPI:1003407297
Name:VASSIL, ALANA
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:VASSIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 CALZADA DE BOUGAINVILLE
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-2513
Mailing Address - Country:US
Mailing Address - Phone:305-304-9787
Mailing Address - Fax:
Practice Address - Street 1:325 CALZADA DE BOUGAINVILLE
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-2513
Practice Address - Country:US
Practice Address - Phone:305-304-9787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program