FLORIDA ENDOVASCULAR SPECIALISTS LLC (NPI# 1255644969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255644969 |
| Entity Type | Organization |
| Organization Name | FLORIDA ENDOVASCULAR SPECIALISTS LLC |
| Practice Address |
1890 Lpga Blvd Suite 140 Daytona Beach FL 32117-7130 |
| Mailing Address |
1673 Mason Ave Suite 305 Daytona Beach FL 32117-5515 |
| Practice Telephone | 3862747250 |
| Practice Fax Number | 3862747259 |
| Mailing Telephone | 3862747118 |
| Mailing Fax Number | 3862746173 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | MR. AL FALCO (CEO) |
| Authorized Official Telephone | 3862747118 |
| Is Organization Subpart | Y |
| Parent Organization Name | RADIOLOGY ASSOCIATES PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD OF FLORIDA | 000NN | 01 |
| Street Address |
1890 LPGA BLVD SUITE 140 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-7130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809122 | Primecare At Twin Lakes LLC | Clinic/Center | 1890 Lpga Blvd, Ste 130, Daytona Beach, FL 32117-7130 | 2005-05-23 |
| 1649601485 | Primecare Acquisition Inc | Non-Pharmacy Dispensing Site | 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7130 | 2013-12-04 |
| 1093069395 | James T Sutton Md Pa | Surgery | 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117-7130 | 2012-11-08 |
| 1659622686 | Michael P. Harrington, M.d., P.a. | Surgery | 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117-7130 | 2012-10-01 |
| 1598015398 | Dale R Traficante Md Pa | Urology | 1890 Lpga Blvd, Suite 220, Daytona Beach, FL 32117-7138 | 2012-09-19 |
| 1962777185 | David G Ramshaw Md Pa | Specialist | 1890 Lpga Blvd, Ste 250, Daytona Beach, FL 32117-7130 | 2012-03-21 |
| 1114201647 | Surgical Associates of Volusia | Specialist | 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7130 | 2011-10-03 |
| 1154601706 | Primecare At Twin Lakes LLC | Clinic/Center | 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7130 | 2011-08-26 |
| 1225328289 | Florida Woman Care, LLC | Obstetrics & Gynecology | 1890 Lpga Blvd, Suite 160, Daytona Beach, FL 32117-7130 | 2011-04-12 |
| 1184854465 | Primecare Family Medicine LLC | Family Medicine | 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7130 | 2009-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
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| 1548879794 | Vascular Specialist of Venice and Sarasota Pl | Radiology | 6600 University Parkway, #102, Sarasota, FL 34240 | 2020-07-23 |
| 1164060497 | Advanced Vascular Cardiac & Veins, Pllc | Radiology | 7480 Bird Rd Ste 560, Miami, FL 33155-6657 | 2019-12-17 |
| 1801437041 | Premier Interventional & Diagnostic Radiology, Corp | Radiology | 8495 Sw 56th St, Miami, FL 33155-5426 | 2019-09-30 |
| 1003476169 | Hss-florida Physicians LLC | Radiology | 1395 S State Road 7 Ste 410, Wellington, FL 33414-9327 | 2019-06-19 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1972006351 | Minimally Invasive Vascular, Inc | Radiology | 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 | 2018-03-13 |
| 1124530761 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 313 W Bass St, Kissimmee, FL 34741-5011 | 2017-11-03 |
| 1942727516 | Inspired Interventional Radiology Services LLC | Radiology | 11011 Sheridan St Ste 102, Hollywood, FL 33026-1501 | 2017-08-24 |
| 1386004901 | Precision Medical Imaging and Therapeutic Institute LLC | Radiology | 2540 Green Forest Ln, Suite #101, Lutz, FL 33558-5388 | 2016-02-24 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.