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Lifeline Vascular Center Niceville Llc
Vascular Surgery Physician in Niceville, Florida
NPI 1962849794

Lifeline Vascular Center Niceville Llc is a Vascular Surgery Physician based in Philadelphia, FL and is specialized in Vascular Surgery. Lifeline Vascular Center Niceville Llc practices in Niceville, FL. The NPI Number for Lifeline Vascular Center Niceville Llc is 1962849794 and holds a License No. (Florida).

The current practice location address for Lifeline Vascular Center Niceville Llc is 4585 E Highway 20 Ste 125, Niceville, FL and can be reached out via phone at 850-678-0184 and via fax at 850-678-0155.

Location: 4585 E Highway 20 Ste 125, Niceville, FL, 19178-2282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962849794
Provider Name
Lifeline Vascular Center Niceville Llc
Credential
Provider Entity Type
Organization
Address
4585 E Highway 20 Ste 125, Niceville, FL, 19178-2282
Phone Number
850-678-0184
Fax Number
850-678-0155
Provider Enumeration Date
06/03/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4585 E Highway 20 Ste 125
City
Niceville
State
Florida
Zip
32578-7709
Phone Number
850-678-0184
Fax Number
850-678-0155
person
Provider Business Mailing Address Details
Address
4585 E Highway 20 Ste 125
City
Niceville
State
Florida
Zip
32578-7709
Phone Number
850-678-0184
Fax Number
850-678-0155
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
()
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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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