Organization · Type 2 NPI
Coastal Vascular and Interventional PLLC
Vascular Surgery Physician · Destin, FL
NPI number
1194394031
Active
Practice location
7720 US Highway 98 W Ste 240
Destin, FL 32550-7232
Fax (850) 479-1829
Mailing address
PO Box 11982
Pensacola, FL 32524-1982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 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.
Another provider at this address
Other vascular surgery physician providers in Destin
About NPI 1194394031
Coastal Vascular and Interventional PLLC's National Provider Identifier is 1194394031, issued on Jun 24, 2021. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Destin, FL. The record was last updated on Jun 24, 2021.