Healthcare Provider Details

I. General information

NPI: 1295617405
Provider Name (Legal Business Name): VANTAGE MEDICAL ASSOCIATES FL, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 NE 1ST AVE STE 705
MIAMI FL
33132-2411
US

IV. Provider business mailing address

49 PIERMONT AVE
HEWLETT NY
11557-2109
US

V. Phone/Fax

Practice location:
  • Phone: 678-702-7222
  • Fax:
Mailing address:
  • Phone: 678-702-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: VARSHA SINHA
Title or Position: OWNER
Credential: MD
Phone: 678-702-7222