Organization · Type 2 NPI
Evolves Vascular Lab, LLC
Vascular Surgery Physician · Ormond Beach, FL
NPI number
1548699606
Active
Practice location
588 Sterthaus Dr
Ormond Beach, FL 32174-5128
Fax (386) 673-0308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 58979 (FL) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 58979 (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.
2 other providers at this address
About NPI 1548699606
Evolves Vascular Lab, LLC's National Provider Identifier is 1548699606, issued on Nov 8, 2013. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Ormond Beach, FL. The record was last updated on Nov 13, 2013.