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Evolves Vascular Lab, Llc
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ormond Beach, Florida
NPI 1548699606

Evolves Vascular Lab, Llc is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Ormond Beach, FL. Evolves Vascular Lab, Llc practices in Ormond Beach, FL. The NPI Number for Evolves Vascular Lab, Llc is 1548699606 and holds a License No. 58979 (Florida).

The current practice location address for Evolves Vascular Lab, Llc is 588 Sterthaus Dr, Ormond Beach, FL and can be reached out via phone at 386-672-9501 and via fax at 386-673-0308.

Location: 588 Sterthaus Dr, Ormond Beach, FL, 32174-5128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548699606
Provider Name
Evolves Vascular Lab, Llc
Credential
Provider Entity Type
Organization
Address
588 Sterthaus Dr, Ormond Beach, FL, 32174-5128
Phone Number
386-672-9501
Fax Number
386-673-0308
Provider Enumeration Date
11/08/2013
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1245226695 01 NPI
041690800 05 FL
371580900 05 FL
1932195385 01 FL NPI
institution
Provider Business Practice Location Address Details
Address
588 Sterthaus Dr
City
Ormond Beach
State
Florida
Zip
32174-5128
Phone Number
386-672-9501
Fax Number
386-673-0308
person
Provider Business Mailing Address Details
Address
588 Sterthaus Dr
City
Ormond Beach
State
Florida
Zip
32174-5128
Phone Number
386-672-9501
Fax Number
386-673-0308
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
58979 (Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
58979 (Florida)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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588 Sterthaus Dr,
ORMOND BEACH, FL
32174-5128
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