Organization · Type 2 NPI
Golden Sun Bear, LLC
Vascular Surgery Physician · Temple Terrace, FL
NPI number
1003192915
Active
Practice location
13083 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Fax (813) 977-3607
Mailing address
3 Hawthorn Pkwy, Suite 410
Vernon Hills, IL 60061-1446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician | 207RN0300X | None listed |
| Vascular & Interventional Radiology Physician | 2085R0204X | None listed |
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1003192915
Golden Sun Bear, LLC's National Provider Identifier is 1003192915, issued on Oct 25, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Temple Terrace, FL. The record was last updated on Jan 5, 2012.