Lifeline Vascular Center Niceville LLC
Lifeline Vascular Center Niceville LLC is a Nephrology Physician in Niceville, Florida. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4585 E Highway 20 Ste 125Niceville, FL 32578-7709
Phone: (850) 678-0184
Fax: (850) 678-0155
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X |
|---|---|
| Nephrology Physician | Taxonomy 207RN0300X |
| Vascular Surgery Physician | Taxonomy 2086S0129X |
Record details
| NPI number | 1962849794 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Lohmeyer — Cfo · (847) 949-3855 |
| NPI enumerated | June 3, 2013 |
| Last updated in NPPES | June 30, 2021 |
| Certification date | June 30, 2021 |
| Mailing address | Po Box 782282, Philadelphia, PA 19178-2282 |
Other providers in Niceville
-
F Duncan Scott MD PA
4516 E Highway 20 # 108, Niceville, FL 32578-9755 · (251) 533-5457
-
Pensacola Nephrology, PA
4304 Lancaster Dr, Niceville, FL 32578-4563 · (850) 862-2385