Provider Demographics
NPI:1730587544
Name:VISION PROFESSIONAL NETWORK, LLC
Entity type:Organization
Organization Name:VISION PROFESSIONAL NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLENDE
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:305-263-9050
Mailing Address - Street 1:7949 NW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-8000
Mailing Address - Country:US
Mailing Address - Phone:305-263-9050
Mailing Address - Fax:305-269-7171
Practice Address - Street 1:2601 S DOUGLAS RD
Practice Address - Street 2:SUITE 703
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33133-2700
Practice Address - Country:US
Practice Address - Phone:305-263-9050
Practice Address - Fax:305-269-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical