Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominion Vascular Surgical Specialists

Organization Vascular Surgery Physician · NPI 1134966286

Dominion Vascular Surgical Specialists is a Vascular Surgery Physician in Lake Mary, Florida. Works from 3 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1355 S International Pkwy Ste 1491
Lake Mary, FL 32746-1694
Phone: (040) 754-3641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 917 Rinehart Rd Ste 2041, Lake Mary, FL 32746-4806 — (347) 829-0399
  • 1691 Mayo Dr, Tavares, FL 32778-4301 — (040) 754-3641

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1134966286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olubunmi Esan — Dr. · (347) 829-0399
NPI enumeratedJuly 15, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address4300 W Lake Mary Blvd Ste 1010, Lake Mary, FL 32746-2449

Other providers in Lake Mary