VAIN CLINIC LLC NPI 1538385885

NPI Information

NPI: 1538385885
Provider Name: VAIN CLINIC ,LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1599 SE LENNARD RD
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 871-8922
Get Directions

VAIN CLINIC ,LLC is a vascular surgery surgery in Port St Lucie, 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. VAIN CLINIC ,LLC NPI is 1538385885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1599 SE LENNARD RD
PORT ST LUCIE, FL
ZIP 34952-542
Phone: (772) 871-8922
Fax: (772) 871-8928

The provider's authorized official is Pamela Roberts .
The authorized official title is OWNER PHYSICIANPhysician and has the following contact phone number (772) 871-8922.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 5/10/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	ME63493	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ME63493	OTHER	FLORIDA	MEDICAL LICENSE

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

NPI Synchronization or Removal

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