COASTAL VASCULAR AND INTERVENTIONAL PLLC NPI 1285888180

NPI Information

COASTAL VASCULAR AND INTERVENTIONAL PLLC is a vascular surgery surgery in Pensacola, 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. COASTAL VASCULAR AND INTERVENTIONAL PLLC NPI is 1285888180. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5149 N. 9TH AVENUE
SUITE 120
PENSACOLA, FL
ZIP 32504-734
Phone: (850) 479-1805
Fax: (850) 479-1829

The provider's authorized official is Christopher J Lecroy .
The authorized official title is Owner, Physician and has the following contact phone number (850) 479-1805.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 6/12/2020.

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:

Other Identifiers

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