Organization · Type 2 NPI

Coastal Vascular and Interventional PLLC

Vascular Surgery Physician · Pensacola, FL

NPI number 1760055289 Active

Practice location

2301 N 9th Ave Ste 100
Pensacola, FL 32503-3986

Call (850) 479-1805 Map

Fax (850) 479-1829

Mailing address

PO Box 11982
Pensacola, FL 32524-1982

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed
Vascular Surgery Physician Primary 2086S0129XNone 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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About NPI 1760055289

Coastal Vascular and Interventional PLLC's National Provider Identifier is 1760055289, issued on Jul 22, 2021. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Pensacola, FL. The record was last updated on Jul 22, 2021.