Healthcare Provider Details

I. General information

NPI: 1386947265
Provider Name (Legal Business Name): MIAMI VEIN CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2010
Last Update Date: 12/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S MIAMI AVE
MIAMI FL
33129-1102
US

IV. Provider business mailing address

PO BOX 491365
MIAMI FL
33149-7365
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-1555
  • Fax: 786-541-2101
Mailing address:
  • Phone: 305-854-1555
  • Fax: 786-541-2101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSE I ALMEIDA
Title or Position: PRESIDENT
Credential: MD
Phone: 305-854-1555