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NPI Code Detail

MEDICARE: MIAMI VEIN CENTER, LLC

MEDICARE: MIAMI VEIN CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1202K00000XPhlebology Physician

General Provider Information

NPI Number : 1386947265
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIAMI VEIN CENTER, LLC
Provider Business Mailing Address
First Line : PO BOX 491365
Second Line :
City : MIAMI
State : FL
Zip : 33149-7365
Country : US
Telephone Number : 305-854-1555
Fax Number : 786-541-2101
Provider Business Practice Location Address
First Line : 1501 S MIAMI AVE
Second Line :
City : MIAMI
State : FL
Zip : 33129-1102
Country : US
Telephone Number : 305-854-1555
Fax Number : 786-541-2101
Authorized Official
Title or Position : PRESIDENT
Name : JOSE I ALMEIDA
Credential : MD
Telephone Number : 305-854-1555
Provider Enumeration Date : 12/14/2010
Last Update Date : 12/16/2010

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Directions to “MIAMI VEIN CENTER, LLC ” Practice Location

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