Coastal Vascular and Interventional PLLC
Coastal Vascular and Interventional PLLC is a Diagnostic Radiology Physician in Crestview, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
327 Medcrest Dr Unit BCrestview, FL 32536-6464
Phone: (850) 479-1805
Fax: (850) 479-1829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X |
Record details
| NPI number | 1639748577 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Danelle Fischer — Administrator · (850) 479-1805 |
| NPI enumerated | June 24, 2021 |
| Last updated in NPPES | June 24, 2021 |
| Certification date | June 24, 2021 |
| Mailing address | Po Box 11982, Pensacola, FL 32524-1982 |
Other providers in Crestview
-
Crestview Open MRI Inc
194 E Redstone Ave Ste A, Crestview, FL 32539-5348 · (850) 689-6705