COASTAL VEIN & VASCULAR INSTITUTE LLC NPI 1689052359

NPI Information

COASTAL VEIN & VASCULAR INSTITUTE, LLC is a vascular and interventional radiology radiology in Jacksonville, 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. COASTAL VEIN & VASCULAR INSTITUTE, LLC NPI is 1689052359. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7741 POINT MEADOWS DR
UNIT 104-106
JACKSONVILLE, FL
ZIP 32256-182
Phone: (904) 399-5550
Fax: (904) 346-4334

The provider's authorized official is Kurt W Mori .
The authorized official title is President and has the following contact phone number (904) 399-5550.

The enumeration date for this NPI number is 5/13/2015 and was last updated on 2/16/2016.

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:

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