Southeast Vascular Group Lp

NPI 1184609372 - Surgery - 208600000X

NPI Details
NPI 1184609372
Enumeration Date 12/09/2005
Last Updated 03/20/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAYNE R. LAYNE
Position PRESIDENT
Phone (850) 429-0102
Fax (850) 429-0830
Practice Location
1717 N E ST
SUITE 533
PENSACOLA FL, 32501-6339, US
Phone (850) 429-0102
Fax (850) 429-0830
Business Location
PO BOX 30090
PENSACOLA FL, 32503-1090, US
Phone (850) 969-1491
Fax (850) 969-1443
Toxanomy
Taxonomy Code 208600000X
License State Florida
License Number ME35697
Remove 1184609372 NPI Number
 

According to our database, Southeast Vascular Group Lp NPI is 1184609372, taxonomy code is 208600000X and license number is ME35697, license state is located at Florida. Southeast Vascular Group Lp physically located at 1717 N E St, Pensacola FL, 32501-6339. NPI Number 1033115704 has the healthcare provider type.

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1184609372 NPI number is provided on an as is basis without warranty of any kind. 1184609372 is maintained by the National Plan & Provider Enumeration System. The contents of Southeast Vascular Group Lp are for informational purposes only.