SOUTHEAST VASCULAR GROUP LP NPI 1295302990

NPI Details

SOUTHEAST VASCULAR GROUP LP is a surgery in Gulf Breeze, 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 1295302990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1040 GULF BREEZE PKWY STE 207
GULF BREEZE, FL
ZIP 32561-808
Phone: (850) 429-0102
Fax: (850) 429-0803

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 CLIA number assigned to this NPI record is 10D2166517 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2021 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: