Vascular And Interventional LLC
Surgery in Lake Worth, FL. Organization (NPI-2).
NPI number1265218291
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1265218291
- Entity type
- Organization (NPI-2)
- Legal business name
- Vascular And Interventional LLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2023
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | – | |
| 2086S0129X | – | – |
Practice location
7556 Lake Worth Rd Ste 103Lake Worth, FL 33467-2503
Phone 561-864-1370 · Fax 561-894-1372
Mailing address
7556 Lake Worth Rd Ste 103Lake Worth, FL 33467-2503
Phone 561-864-1370 · Fax 561-894-1372
Authorized official
Emilio E Lopez
Owner
7865477655
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