Coastal Vascular and Interventional Pllc

NPI #1912576851 in Destin, Florida

Provider Information

NPI Number: 1912576851
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: 4012 COMMONS DR W STE 110
City: Destin
State: Florida
ZIP Code: 32541-8424
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

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Thomas A. Castillenti, D.O.	Surgery - Vascular Surgery	Dade City	AI Deep Dive
Michael Paul Harrington, M.D.	Surgery - Vascular Surgery	Daytona Beach	AI Deep Dive
James Thomas Sutton, M.D.	Surgery - Vascular Surgery	Ormond Beach	AI Deep Dive
DR. Douglas A Dorsay, M.D	Surgery - Vascular Surgery	Sarasota	AI Deep Dive

Organizations

Provider Name	Specialty	City
Coastal Vascular and Interventional Pllc	Surgery - Vascular Surgery	Destin	AI Deep Dive

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