Suncoast Vascular Clinic

LBN: Suncoast Vascular Clinic
Suncoast Vascular Clinic is an health care organization with primary practice located at 3722 Central Ave Suite 6, Ft Myers FL 33901-8247. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Suncoast Vascular Clinic can be contacted via phone (239) 277-7700, or through Goulet, Marc J via phone (954) 439-3465.

Contact Information

Primary practice address
3722 Central Ave Suite 6 Ft Myers FL 33901-8247
Phone: (239) 277-7700
Fax: (239) 277-7070
Website:
Map and Directions
Authorized official contact:
Name: Goulet, Marc J Doctor of Medicine (MD)
Phone: (954) 439-3465

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1164598678
LBN Legal business name Suncoast Vascular Clinic
DBA Doing business as
Authorized official Goulet, Marc J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2006
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164598678 NPPES
Florida Other 50648 BC BS

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