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FENIX VASCULAR LLC NPI 1962154500


NPI Information

NPI: 1962154500
Provider Name: FENIX VASCULAR LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4835 HOLLYWOOD BLVD
HOLLYWOOD, FL
ZIP 33021
Phone: (713) 703-5255
Get Directions

FENIX VASCULAR LLC is a diagnostic radiology radiology in Hollywood, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FENIX VASCULAR LLC NPI is 1962154500. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4835 HOLLYWOOD BLVD
HOLLYWOOD, FL
ZIP 33021-548
Phone: (713) 703-5255
Fax: (954) 908-1278

The provider's authorized official is Aurora Luna .
The authorized official title is Mbr, Md, Owner and has the following contact phone number (713) 703-5255.

The enumeration date for this NPI number is 1/25/2022 and was last updated on 1/25/2022.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 5/5/2024

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