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1750564696 NPI number — SUNCOAST VEIN & VASCULAR CLINIC PLC

NPI Number: 1750564696
Health Care Provider/Practitioner: SUNCOAST VEIN & VASCULAR CLINIC PLC

Information about “1750564696” NPI (SUNCOAST VEIN & VASCULAR CLINIC PLC) exists in 1750564696 in HTML format HTML  |  1750564696 in plain Text format TXT  |  1750564696 in PDF (Portable Document Format) PDF  |  1750564696 in an XML format XML  formats.

NPI Number : 1750564696 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750564696",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUNCOAST VEIN & VASCULAR CLINIC PLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1728 DUNLAWTON AVE",
    "SecondLineMailingAddress": "STE 5",
    "MailingAddressCityName": "PORT ORANGE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32127-2922",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-304-3404",
    "MailingAddressFaxNumber": "386-304-3135",
    "FirstLinePracticeLocationAddress": "1728 DUNLAWTON AVE",
    "SecondLinePracticeLocationAddress": "STE 5",
    "PracticeLocationAddressCityName": "PORT ORANGE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32127-2922",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-304-3404",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/14/2007",
    "LastUpdateDate": "08/09/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SINGIREDDY",
    "AuthorizedOfficialFirstName": "SWAPNA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRACTICE MANAGER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "386-235-9677",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0204X",
        "TaxonomyName": "Vascular & Interventional Radiology Physician",
        "LicenseNumber": "ME81395",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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