Provider Demographics
NPI:1851774756
Name:AVRIL, VLADIMIR AMOS (DDS)
Entity Type:Individual
Prefix:MR
First Name:VLADIMIR
Middle Name:AMOS
Last Name:AVRIL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 E KENNEDY BLVD UNIT 538
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-3783
Mailing Address - Country:US
Mailing Address - Phone:305-206-3718
Mailing Address - Fax:
Practice Address - Street 1:3413 S KINGS AVE STE 200
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-7780
Practice Address - Country:US
Practice Address - Phone:813-643-9029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 214281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice