Advanced Vein Care, INC.
in Tampa, FL. Organization (NPI-2).
NPI number1982141222
StatusActive
Last updated in NPPESDec 5, 2017
Details
- NPI
- 1982141222
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Vein Care, INC.
- Organization subpart
- No
- Enumeration date
- Jan 25, 2017
- Last updated
- Dec 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes |
Practice location
1921 W Dr Martin Luther King Jr BlvdTampa, FL 33607-6509
Phone 813-876-7600 · Fax 813-876-7675
Mailing address
1921 W Dr Martin Luther King Jr BlvdTampa, FL 33607-6509
Phone 813-876-7600 · Fax 813-876-7675
Authorized official
Stanley Robert Dennison
Owner
8138767600
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