COASTAL VASCULAR AND INTERVENTIONAL PLLC is a vascular surgery surgery in Niceville, 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. COASTAL VASCULAR AND INTERVENTIONAL PLLC NPI is 1851960793. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4585 E HIGHWAY 20 STE 125 NICEVILLE, FL ZIP 32578-709 Phone: (850) 479-1805 Fax: (850) 479-1859
The provider's authorized official is Danelle Fischer . The authorized official title is Administrator and has the following contact phone number (850) 479-1805.
The enumeration date for this NPI number is 6/24/2021 and was last updated on 6/24/2021.
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:
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: 3/30/2025
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