Healthcare Provider Details

I. General information

NPI: 1326062811
Provider Name (Legal Business Name): ANGIOCATH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3385 BURNS RD SUITE 108
PALM BEACH GARDENS FL
33410-4328
US

IV. Provider business mailing address

3385 BURNS RD SUITE 108
PALM BEACH GARDENS FL
33410-4328
US

V. Phone/Fax

Practice location:
  • Phone: 561-625-5244
  • Fax: 561-799-9569
Mailing address:
  • Phone: 561-625-5244
  • Fax: 561-799-9569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberOS-012
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License NumberOS 012
License Number StateFL

VIII. Authorized Official

Name: DR. AMARNATH VEDERE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-625-5244