Organization · Type 2 NPI
Brevard Vascular Associates LLC
Vascular Surgery Physician · Rockledge, FL
NPI number
1184806630
Active
Practice location
1004 Beverly Dr, Suite D
Rockledge, FL 32955-2851
Fax (321) 637-4715
Mailing address
150 N Sykes Creek Pkwy, Suite 300
Merritt Island, FL 32953-3488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | ME91509 (FL) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3 other providers at this address
Other vascular surgery physician providers in Rockledge
About NPI 1184806630
Brevard Vascular Associates LLC's National Provider Identifier is 1184806630, issued on Nov 27, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Rockledge, FL. The record was last updated on Aug 4, 2010.