Coastal Vascular and Interventional Pllc

NPI #1295304137 in Milton, Florida

Provider Information

NPI Number: 1295304137
Entity Type: Organization
Organization Name: Coastal Vascular and Interventional Pllc
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jun 24, 2021
Last Updated: Jun 24, 2021

Practice Location

Address: 5970 BERRYHILL RD
City: Milton
State: Florida
ZIP Code: 32570-4009
Phone: (850) 479-1805

Authorized Official

Name: DANELLE FISCHER
Title: ADMINISTRATOR
Phone: (850) 479-1805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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