Organization · Type 2 NPI

Cardiovascular Center of America

Vascular Surgery Physician · Lake City, FL

NPI number 1063975175 Active

Practice location

404 NW Hall Of Fame Dr
Lake City, FL 32055-4833

Call (856) 335-5025 Map

Fax (856) 213-9269

Mailing address

575 N Route 73 Ste A6
West Berlin, NJ 08091-2440

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone 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.

26 other providers at this address

About NPI 1063975175

Cardiovascular Center of America's National Provider Identifier is 1063975175, issued on Apr 8, 2019. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lake City, FL. The record was last updated on Apr 8, 2019.