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General NPI Number Information
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NPI Number | 1225911753
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Entity Type | Organization
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Legal Business Name | PREMIER VASCULAR INSTITUTE LLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 661 E ALTAMONTE DR STE 213
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5102
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Country | US
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Telephone | 407-347-2982
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Fax |
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Provider Business Mailing Address
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Address Line | 661 E ALTAMONTE DR STE 213
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5102
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Country | US
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Telephone | 407-347-2982
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD NABEEL ABBASI
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Credential |
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Telephone | 516-776-2269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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