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General NPI Number Information
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NPI Number | 1114336021
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Entity Type | Organization
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Legal Business Name | FLORIDA VEIN CENTER, INC
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 5215 E STATE ROAD 64
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City | BRADENTON
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State | FL
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Zip | 34208-5533
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Country | US
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Telephone | 941-907-3400
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Fax | 941-907-4202
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Provider Business Mailing Address
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Address Line | 5215 E STATE ROAD 64
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City | BRADENTON
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State | FL
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Zip | 34208-5533
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Country | US
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Telephone | 941-907-3400
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Fax | 941-907-4202
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Authorized Official
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Title or Position | OWNER
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Name | FEDERICO RICHTER
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Credential | MD
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Telephone | 941-907-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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