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NPI Code Detail

MEDICARE: AKRON VASCULAR CARE, LLC

MEDICARE: AKRON VASCULAR CARE, 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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1629762406
Entity Type Code : Organization
Provider Name (Legal Business Name) : AKRON VASCULAR CARE, LLC
Provider Business Mailing Address
First Line : 9140 CORSEA DEL FONTANA WAY
Second Line :
City : NAPLES
State : FL
Zip : 34109-4397
Country : US
Telephone Number : 239-597-2010
Fax Number : 239-597-2313
Provider Business Practice Location Address
First Line : 43 S MAIN ST STE 2
Second Line :
City : MUNROE FALLS
State : OH
Zip : 44262-1635
Country : US
Telephone Number : 239-597-2010
Fax Number : 239-597-2313
Authorized Official
Title or Position : CFO
Name : LISA MCNAMARA
Credential :
Telephone Number : 239-597-2010
Provider Enumeration Date : 06/06/2023
Last Update Date : 06/06/2023

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Directions to “AKRON VASCULAR CARE, LLC ” Practice Location

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