Organization · Type 2 NPI
Coastal Vascular and Interventional PLLC
Vascular Surgery Physician · Crestview, FL
NPI number
1639748577
Active
Practice location
327 Medcrest Dr Unit B
Crestview, FL 32536-6464
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.
Other vascular surgery physician providers in Crestview
About NPI 1639748577
Coastal Vascular and Interventional PLLC's National Provider Identifier is 1639748577, issued on Jun 24, 2021. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Crestview, FL. The record was last updated on Jun 24, 2021.