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Coastal Vascular And Interventional Pllc
Vascular Surgery Physician in Fort Walton Beach, Florida
NPI 1164091005

Coastal Vascular And Interventional Pllc is a Vascular Surgery Physician based in Pensacola, FL and is specialized in Vascular Surgery. Coastal Vascular And Interventional Pllc practices in Fort Walton Beach, FL. The NPI Number for Coastal Vascular And Interventional Pllc is 1164091005 and holds a License No. (Florida).

The current practice location address for Coastal Vascular And Interventional Pllc is 1032 Mar Walt Dr Unit 250, Fort Walton Beach, FL and can be reached out via phone at 850-479-1805 and via fax at 850-479-1829.

Location: 1032 Mar Walt Dr Unit 250, Fort Walton Beach, FL, 32524-1982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164091005
Provider Name
Coastal Vascular And Interventional Pllc
Credential
Provider Entity Type
Organization
Address
1032 Mar Walt Dr Unit 250, Fort Walton Beach, FL, 32524-1982
Phone Number
850-479-1805
Fax Number
850-479-1829
Provider Enumeration Date
06/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1032 Mar Walt Dr Unit 250
City
Fort Walton Beach
State
Florida
Zip
32547-6663
Phone Number
850-479-1805
Fax Number
850-479-1829
person
Provider Business Mailing Address Details
Address
1032 Mar Walt Dr Unit 250
City
Fort Walton Beach
State
Florida
Zip
32547-6663
Phone Number
850-479-1805
Fax Number
850-479-1829
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
()
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
()
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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