Organization · Type 2 NPI
Fox Vascular Experts, LLC
Vascular Surgery Physician · Fort Lauderdale, FL
NPI number
1316413115
Active
Practice location
2699 Stirling Rd Ste A301302
Fort Lauderdale, FL 33312-6517
Fax (954) 515-1184
Mailing address
4780 SW 64th Ave Ste 103
Davie, FL 33314-4400
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.
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- Antonio G. Revilla Jr., M.d. P.a.Vascular Surgery Physician Fort Lauderdale, FL NPI 1548532088
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About NPI 1316413115
Fox Vascular Experts, LLC's National Provider Identifier is 1316413115, issued on Oct 18, 2018. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Oct 18, 2018.