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INTERVENTIONAL & VASCULAR CENTER PLLC NPI 1174980973


NPI Information

NPI: 1174980973
Provider Name: INTERVENTIONAL & VASCULAR CENTER, PLLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
415 S WICKHAM RD
WEST MELBOURNE, FL
ZIP 32904
Phone: (321) 400-1220
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INTERVENTIONAL & VASCULAR CENTER, PLLC is a vascular and interventional radiology radiology in West Melbourne, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. INTERVENTIONAL & VASCULAR CENTER, PLLC NPI is 1174980973. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

415 S WICKHAM RD
WEST MELBOURNE, FL
ZIP 32904-137
Phone: (321) 400-1220

The provider's authorized official is Brian Dunfee .
The authorized official title is President and has the following contact phone number (321) 400-1220.

The enumeration date for this NPI number is 1/25/2016 and was last updated on 8/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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