Organization · Type 2 NPI
Evanescence Inc
Vascular Surgery Physician · Kendall, FL
NPI number
1780628107
Active
Practice location
11760 Bird Road, Suite 710
Kendall, FL 33165
Fax (305) 554-0616
Mailing address
7100 Pines Blvd, Suite 23
Pembroke Pines, FL 33024-7355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | ME 29633 (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.
Other vascular surgery physician providers in Kendall
About NPI 1780628107
Evanescence Inc's National Provider Identifier is 1780628107, issued on Jun 15, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Kendall, FL. The record was last updated on Jul 10, 2007.