Provider Demographics
NPI:1780681361
Name:SILEBI, VANESSA I (MD)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:I
Last Name:SILEBI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3661 S MIAMI AVE
Mailing Address - Street 2:STE 108
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4206
Mailing Address - Country:US
Mailing Address - Phone:305-858-3900
Mailing Address - Fax:305-858-9029
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:STE 108
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4206
Practice Address - Country:US
Practice Address - Phone:305-858-3900
Practice Address - Fax:305-858-9029
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88754207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268875100Medicaid
FL376874YMedicare PIN
FLI01659Medicare UPIN