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LAS OLAS DE SEQUOIA LLC NPI 1417208521


NPI Information

NPI: 1417208521
Provider Name: LAS OLAS DE SEQUOIA LLC

Doing Business As: LIFELINE VASCULAR CENTER - FT LAUDERDALE

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
6766 W SUNRISE BLVD
SUITE 100
PLANTATION, FL
ZIP 33313
Phone: (847) 388-2001
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LAS OLAS DE SEQUOIA LLC is a vascular and interventional radiology radiology in Plantation, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. LAS OLAS DE SEQUOIA LLC NPI is 1417208521. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifeline Vascular Center - Ft Lauderdale.

The provider's business location address is:

6766 W SUNRISE BLVD
SUITE 100
PLANTATION, FL
ZIP 33313-072
Phone: (847) 388-2001
Fax: (847) 388-2020

The provider's authorized official is James Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 280-9501.

The enumeration date for this NPI number is 9/28/2012 and was last updated on 9/28/2012.


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
1207RN0300XInternal MedicineNephrologyNo
22086S0129XSurgeryVascular SurgeryNo
32085R0204XRadiologyVascular & Interventional RadiologyYes

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: 4/28/2024

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