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VEIN TREATMENT CENTER OF PALM COAST P A NPI 1689893224


NPI Information

NPI: 1689893224
Provider Name: VEIN TREATMENT CENTER OF PALM COAST P A
Classification: Phlebology - 202K00000X
Entity Type: Organization
Address:
21 HOSPITAL DR
SUITE 260
PALM COAST, FL
ZIP 32164
Phone: (386) 586-5344
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VEIN TREATMENT CENTER OF PALM COAST P A is a phlebology in Palm Coast, FL. The provider is phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. VEIN TREATMENT CENTER OF PALM COAST P A NPI is 1689893224. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 HOSPITAL DR
SUITE 260
PALM COAST, FL
ZIP 32164-452
Phone: (386) 586-5344
Fax: (386) 586-5450

The provider's authorized official is Nickolas John Collucci .
The authorized official title is President and has the following contact phone number (386) 586-5344.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 2/11/2013.


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
1202K00000XPhlebologyME39243FLORIDAYes
2202K00000XPhlebologyOS4153FLORIDANo
3207Q00000XFamily MedicineOS4153FLORIDANo
4207VH0002XObstetrics & GynecologyHospice and Palliative MedicineME39243FLORIDANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K7863MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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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