Coastal Vascular And Interventional Pllc

LBN: Coastal Vascular And Interventional Pllc
Coastal Vascular And Interventional Pllc is an health care organization with primary practice located at 1032 Mar Walt Dr Unit 250 , Fort Walton Beach FL 32547-6663. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty. Coastal Vascular And Interventional Pllc can be contacted via phone (850) 479-1805, or through Fischer, Danelle via phone (850) 479-1805.

Contact Information

Primary practice address
1032 Mar Walt Dr Unit 250 Fort Walton Beach FL 32547-6663
Phone: (850) 479-1805
Fax: (850) 479-1829
Website:
Map and Directions
Authorized official contact:
Name: Fischer, Danelle
Phone: (850) 479-1805

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1164091005
LBN Legal business name Coastal Vascular And Interventional Pllc
DBA Doing business as
Authorized official Fischer, Danelle
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2021
Last updated Jun 24th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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