Provider Demographics
NPI:1851028302
Name:WORLD OF IMMUNOS CORP
Entity Type:Organization
Organization Name:WORLD OF IMMUNOS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IVANOVA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-491-6039
Mailing Address - Street 1:6447 MIAMI LAKES DR STE 222B
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2764
Mailing Address - Country:US
Mailing Address - Phone:305-491-6039
Mailing Address - Fax:954-342-6496
Practice Address - Street 1:20601 E DIXIE HWY STE 300B
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1542
Practice Address - Country:US
Practice Address - Phone:305-491-6039
Practice Address - Fax:954-342-6496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathologyGroup - Single Specialty