Organization · Type 2 NPI
Coastal Vascular and Interventional PLLC
Vascular Surgery Physician · Milton, FL
NPI number
1295304137
Active
Practice location
5970 Berryhill Rd
Milton, FL 32570-4009
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.
About NPI 1295304137
Coastal Vascular and Interventional PLLC's National Provider Identifier is 1295304137, issued on Jun 24, 2021. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Milton, FL. The record was last updated on Jun 24, 2021.