Healthcare Provider Details

I. General information

NPI: 1811943863
Provider Name (Legal Business Name): SYMMETRY VASCULAR CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2169 SE OCEAN BLVD
STUART FL
34996-3305
US

IV. Provider business mailing address

2169 SE OCEAN BLVD
STUART FL
34996-3305
US

V. Phone/Fax

Practice location:
  • Phone: 772-286-5501
  • Fax: 772-781-7767
Mailing address:
  • Phone: 772-286-5501
  • Fax: 772-781-7767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: TAMI BENNETT
Title or Position: BILLING LEAD
Credential:
Phone: 772-286-5501