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 5149 N. 9Th Avenue Suite 120, Pensacola FL 32504-8734. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Vascular Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. 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 Lecroy, Christopher J via phone (850) 479-1805.
Contact Information
Primary practice address
5149 N. 9Th Avenue Suite 120
Pensacola FL 32504-8734
Phone: (850) 479-1805
Fax: (850) 479-1829
Website:
Authorized official contact:
Name: Lecroy, Christopher J Doctor of Medicine (MD)
Phone: (850) 479-1805
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1285888180 |
|---|---|
| LBN Legal business name | Coastal Vascular And Interventional Pllc |
| DBA Doing business as | |
| Authorized official | Lecroy, Christopher J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 5th, 2008 |
| Last updated | Jun 12th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285888180 | NPPES |
| Florida | MEDICAID | 000700100 |
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