Organization · Type 2 NPI
Lifeline Vascular Center Niceville LLC
Vascular & Interventional Radiology Physician · Niceville, FL
Practice location
4585 E Highway 20 Ste 125
Niceville, FL 32578-7709
Fax (850) 678-0155
Mailing address
PO Box 782282
Philadelphia, PA 19178-2282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician | 207RN0300X | None listed |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | None listed |
| Vascular Surgery Physician | 2086S0129X | None listed |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Another provider at this address
About NPI 1962849794
Lifeline Vascular Center Niceville LLC's National Provider Identifier is 1962849794, issued on Jun 3, 2013. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Niceville, FL. The record was last updated on Jun 30, 2021.