Healthcare Provider Details

I. General information

NPI: 1861230021
Provider Name (Legal Business Name): PREMIER VASCULAR CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301A WEST PALMETTO PARK ROAD SUITE 303C
BOCA RATON FL
33433
US

IV. Provider business mailing address

7301A W PALMETTO PARK RD STE 303C
BOCA RATON FL
33433-3457
US

V. Phone/Fax

Practice location:
  • Phone: 561-549-0007
  • Fax:
Mailing address:
  • Phone: 954-309-2771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDA ACCETTA
Title or Position: OWNER
Credential:
Phone: 954-309-2771