Vein Treatment Center Of Palm Coast P A in Flagler Beach - Family Medicine
Vein Treatment Center Of Palm Coast P A - NPI 1689893224
Vein Treatment Center Of Palm Coast P A is a Family Medicine in Flagler Beach, Florida. Vein Treatment Center Of Palm Coast P A practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Vein Treatment Center Of Palm Coast P A is 1689893224. The last update date is 2013-02-11.
Vein Treatment Center Of Palm Coast P A's current location address is Po Box 279, Flagler Beach, Florida. You can contact this provider via phone number 3865865344 and fax number 3865865450. The mailing address for Vein Treatment Center Of Palm Coast P A is Po Box 279, Flagler Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vein Treatment Center Of Palm Coast P A |
|---|---|
| Address | Po Box 279, Flagler Beach, Florida |
| Phone Number | 3865865344 |
| Fax Number | 3865865450 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Collucci John Nickolas |
| Credentials | D.O. |
| Telephone Number | 3865865344 |
NPI Number Detail
| NPI Number | 1689893224 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2013-02-11 |
Provider Mailing Address Detail
| Address | Po Box 279 |
|---|---|
| City | Flagler Beach |
| State | Florida (FL) |
| Post Code | 321360279 |
| Phone Number | 3865865344 |
| Fax Number | 3865865450 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS4153 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Vein Treatment Center Of Palm Coast P A by the Centers for Medicare & Medicaid Services?
The Vein Treatment Center Of Palm Coast P A has been issued the NPI (National Provider Identifier) 1689893224, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Vein Treatment Center Of Palm Coast P A?
The Vein Treatment Center Of Palm Coast P A is physically situated at Po Box 279, in the city of Flagler Beach, state of FL, with the postal code 321360279.
What is the area of specialization for Vein Treatment Center Of Palm Coast P A, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Vein Treatment Center Of Palm Coast P A is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Vein Treatment Center Of Palm Coast P A receive the assignment of its 1689893224 from the Centers for Medicare & Medicaid Services?
The Vein Treatment Center Of Palm Coast P A was issued its 1689893224 by the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the information regarding Vein Treatment Center Of Palm Coast P A most recently updated?
The details pertaining to the Vein Treatment Center Of Palm Coast P A, including its address, specialty, and other relevant information, were last refreshed on 2013-02-11.
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