Healthcare Provider Details

I. General information

NPI: 1033555875
Provider Name (Legal Business Name): SPECIALIST IN VASCULAR CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2013
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 COLLIER BLVD SUITE 400
NAPLES FL
34114-3625
US

IV. Provider business mailing address

1204 HERNANDO ST
NAPLES FL
34103-3249
US

V. Phone/Fax

Practice location:
  • Phone: 239-331-7144
  • Fax: 239-595-4590
Mailing address:
  • Phone: 239-404-0660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME 112830
License Number StateFL

VIII. Authorized Official

Name: DR. RASHMI SHARMA
Title or Position: VASCULAR SURGEON
Credential: M.D.
Phone: 239-404-0660