MEDICARE: SYMMETRY VASCULAR CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1811943863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYMMETRY VASCULAR CENTER, INC.

Provider Business Mailing Address
First Line	:	2169 SE OCEAN BLVD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34996-3305
Country	:	US
Telephone Number	:	772-286-5501
Fax Number	:	772-781-7767

Provider Business Practice Location Address
First Line	:	2169 SE OCEAN BLVD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34996-3305
Country	:	US
Telephone Number	:	772-286-5501
Fax Number	:	772-781-7767

Authorized Official
Title or Position	:	BILLING LEAD
Name	:	TAMI BENNETT
Credential	:
Telephone Number	:	772-286-5501

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	08/21/2025

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