Healthcare Provider Details
I. General information
NPI: 1114830254
Provider Name (Legal Business Name): VEIN AND METABOLIC CENTER OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1014 NW 57TH ST STE 200
GAINESVILLE FL
32605-4486
US
IV. Provider business mailing address
1014 NW 57TH ST STE 200
GAINESVILLE FL
32605-4486
US
V. Phone/Fax
- Phone: 850-380-1967
- Fax:
- Phone: 850-380-1967
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RB0002X |
| Taxonomy | Obesity Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
JEFFREY
E
FRIEDMAN
Title or Position: OWNER
Credential: MD
Phone: 850-380-1967