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PALM VASCULAR CENTER OF BROWARD LLC NPI 1588098669


NPI Information

NPI: 1588098669
Provider Name: PALM VASCULAR CENTER OF BROWARD, LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 10D2071950

Address:
3109 STIRLING RD
SUITE 100
FORT LAUDERDALE, FL
ZIP 33312
Phone: (914) 720-3686
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PALM VASCULAR CENTER OF BROWARD, LLC is a vascular and interventional radiology radiology in Fort Lauderdale, 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. PALM VASCULAR CENTER OF BROWARD, LLC NPI is 1588098669. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3109 STIRLING RD
SUITE 100
FORT LAUDERDALE, FL
ZIP 33312-558
Phone: (914) 720-3686

The provider's authorized official is Eric Rogers .
The authorized official title is Ceo and has the following contact phone number (914) 720-3686.

The CLIA number assigned to this NPI record is 10D2071950 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2013 and was last updated on 8/26/2013.


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
12086S0129XSurgeryVascular SurgeryFLORIDANo
22085R0204XRadiologyVascular & Interventional RadiologyFLORIDAYes

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

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