Mrs. Dimitra Vajda
Prosthetist
304 3rd St Sw Ste 20
Winter Haven
, Florida 33880-3409
Mrs. Dimitra Vajda
Prosthetist
304 3rd St Sw Ste 20
Winter Haven
, Florida 33880-3409
(813) 703-1632
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mrs. Dimitra Vajda
- Po Box 2419
- Winter Haven, FL
- Zip : 33883-2419
- Phone : (813) 703-1632
Second Address
- Mrs. Dimitra Vajda
- 304 3rd St Sw Ste 20
- Winter Haven, FL
- Zip : 33880-3409
- Phone : (813) 703-1632
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | CL1229273 | FL |
National Provider Identifier
| NPI | 1316416027 |
|---|---|
| Provider Name | Mrs. Dimitra Vajda |
| First Address | Winter Haven, FL 33883-2419 |
| Second Address | Winter Haven, FL 33880-3409 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/11/2018 |
| Last Update Date | 26/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.