ADVANCED VASCULAR SOLUTIONS LLC NPI 1104459783

NPI Information

NPI: 1104459783
Provider Name: ADVANCED VASCULAR SOLUTIONS, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
13110 US HIGHWAY 1
SEBASTIAN, FL
ZIP 32958
Phone: (772) 581-8900
Get Directions

ADVANCED VASCULAR SOLUTIONS, LLC is a vascular surgery surgery in Sebastian, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ADVANCED VASCULAR SOLUTIONS, LLC NPI is 1104459783. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13110 US HIGHWAY 1
SEBASTIAN, FL
ZIP 32958-735
Phone: (772) 581-8900

The provider's authorized official is Jad Shalhoub .
The authorized official title is External Consultant and has the following contact phone number (772) 230-4477.

The enumeration date for this NPI number is 2/21/2020 and was last updated on 1/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				No
2	2086S0129X	Surgery	Vascular Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	108804600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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