Healthcare Provider Details

I. General information

NPI: 1629820592
Provider Name (Legal Business Name): THE VEIN VALET
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 S MONROE ST FL 1
TALLAHASSEE FL
32301-1529
US

IV. Provider business mailing address

1726 EXETER RD
TALLAHASSEE FL
32308-5528
US

V. Phone/Fax

Practice location:
  • Phone: 866-575-6255
  • Fax: 407-264-6172
Mailing address:
  • Phone: 850-567-6031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: CHLOE ANDERSON
Title or Position: MEDICAL ASSISTANT
Credential:
Phone: 866-575-6255