ADVANCED ENDOVASCULAR INSTITUTE NPI 1497361943

NPI Information

ADVANCED ENDOVASCULAR INSTITUTE is a cardiovascular disease internal medicine in St Augustine, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ADVANCED ENDOVASCULAR INSTITUTE NPI is 1497361943. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1301 PLANTATION ISLAND DR S STE 401A
ST AUGUSTINE, FL
ZIP 32080-118
Phone: (386) 232-9203
Fax: (386) 222-3064

The provider's authorized official is Imraan Ansaarie .
The authorized official title is Owner and has the following contact phone number (386) 232-9203.

The CLIA number assigned to this NPI record is 10D2217060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2020 and was last updated on 4/9/2021.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.