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SOUTHEAST VASCULAR GROUP LP NPI 1184609372


NPI Information

NPI: 1184609372
Provider Name: SOUTHEAST VASCULAR GROUP LP
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
4800 N 9TH AVE
PENSACOLA, FL
ZIP 32503
Phone: (850) 429-0102
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SOUTHEAST VASCULAR GROUP LP is a surgery in Pensacola, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SOUTHEAST VASCULAR GROUP LP NPI is 1184609372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4800 N 9TH AVE
PENSACOLA, FL
ZIP 32503-447
Phone: (850) 429-0102
Fax: (850) 429-0830

The provider's authorized official is Layne R. Yonehiro .
The authorized official title is President and has the following contact phone number (850) 429-0102.

The enumeration date for this NPI number is 12/9/2005 and was last updated on 6/10/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryME35697FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1529913680MEDICAIDALABAMA
20329OTHERFLORIDAHEALTH FIRST NETWORK
3529929230MEDICAIDALABAMA
4529931590MEDICAIDALABAMA
5CK8716OTHERFLORIDAMEDICARE RAILROAD
6266355400MEDICAIDFLORIDA

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: 11/14/2023

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