Organization · Type 2 NPI
Dominion Vascular Surgical Specialists
Vascular Surgery Physician · Lake Mary, FL
NPI number
1134966286
Active
Practice location
1355 S International Pkwy Ste 1491
Lake Mary, FL 32746-1694
Mailing address
4300 W Lake Mary Blvd Ste 1010
Lake Mary, FL 32746-2449
Other practice locations
- 917 Rinehart Rd Ste 2041, Lake Mary, FL 32746-4806 · (347) 829-0399
- 1691 Mayo Dr, Tavares, FL 32778-4301 · (040) 754-3641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
Another provider at this address
Other vascular surgery physician providers in Lake Mary
About NPI 1134966286
Dominion Vascular Surgical Specialists's National Provider Identifier is 1134966286, issued on Jul 15, 2024. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lake Mary, FL. The record was last updated on Dec 16, 2024.