DESTIN VEIN CENTER LLC


Address: 4485 Furling Ln, Destin, FL 32541-5331
Phone: 8506545222

DESTIN VEIN CENTER LLC (NPI# 1902087281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902087281
Entity Type Organization
Organization Name DESTIN VEIN CENTER LLC
Practice Address 4485 Furling Ln
Destin
FL 32541-5331
Practice Telephone 8506545222
Practice Fax Number 8506378020
Mailing Telephone 8506545222
Mailing Fax Number 8506378020
Enumeration Date 2007-11-15
Last Update Date 2017-04-24
Authorized Official Name DR. RICHARD J GRISOLI (OWNER)
Authorized Official Telephone 8506545222
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist ME92186 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE LICENSE ME92186 01

Office Location

Street Address 4485 FURLING LN
City DESTIN
State FL
Zip Code 32541-5331

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871594275 Destin Surgery Center LLC Clinic/Center 4485 Furling Ln, Destin, FL 32541-5331 2005-08-09
1063911196 William Edelman Physician Assistant 4485 Furling Ln, Destin, FL 32541-5331 2018-02-05
1205126992 Walter David Harris Obstetrics & Gynecology 4485 Furling Ln, Destin, FL 32541-5331 2011-04-14
1174720874 Destin Plastic Surgery Specialist 4485 Furling Ln, Destin, FL 32541-5331 2007-06-27
1023199312 Lawrence Scott Ennis Specialist 4485 Furling Ln, Destin, FL 32541-5331 2006-10-17
1417038704 William R Burden Specialist 4485 Furling Ln, Destin, FL 32541-5331 2006-10-17
1710072400 Jerolyn R Ashcraft Registered Nurse 4485 Furling Ln, Destin, FL 32541-5331 2006-10-04
1376561480 Sandra A Dulian Nurse Anesthetist, Certified Registered 4485 Furling Ln, Destin, FL 32541-5331 2006-07-17
1891720538 Helena B Grandgenett Nurse Anesthetist, Certified Registered 4485 Furling Ln, Destin, FL 32541-5331 2006-07-11
1760413249 Samuel A Budnyk Specialist 4485 Furling Ln, Destin, FL 32541-5331 2006-07-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578020574 Wal-mart Stores East, Lp Durable Medical Equipment & Medical Supplies Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 2019-02-26
1932640471 Kathryn Clower Chiropractor 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 2017-03-16
1881133148 Danielle Mckinney Physical Therapist 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 2017-02-20
1417304643 Coastal Pediatric Group Pediatrics 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 2016-05-17
1336563956 Blu By The Sea,llc Clinic/Center 3399 Scenic Highway 98, Destin, FL 32541 2014-02-18
1740539535 Courtney Breaux Mcgee Physician Assistant 155 Crystal Beach Drive #121, Destin, FL 32541 2012-09-07
1073861704 Nathan Hall Dmd Pl Dentist 4484 Legendary Dr, Suite B, Destin, FL 32541 2012-08-28
1982991121 Bayshore Retreat, LLC Substance Abuse Rehabilitation Facility 457 Cahoun Ave, Destin, FL 32541 2011-07-08
1457661605 Destin Surgery Clinic, P.a. Specialist 415 Mountain Drive, Suite # 6, Destin, FL 32541 2010-10-20
1194032581 Laura Mathisen Behavioral Analyst 3820 Misty Way, Destin, FL 32541 2010-09-07
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457661605 Destin Surgery Clinic, P.a. Specialist 415 Mountain Drive, Suite # 6, Destin, FL 32541 2010-10-20
1649425877 Destin Primary Care Center Specialist 36008 Emerald Coast Pkwy, Suite A-102, Destin, FL 32541-4792 2008-12-02
1932392545 Blaine Searcy Specialist 713 Seagull Cir, Destin, FL 32541-1943 2007-08-27
1922291897 Gary K Magee Specialist 12815 Us Highway 98 W, Suite 114, Destin, FL 32550-3209 2007-08-23
1619169133 Jessica Marie Virtue Specialist 12815 Hwy 98 W, Suite 114, Destin, FL 32550 2007-08-17
1487685822 Erlinda S Mccrea Specialist 280 Vinings Way Blvd, #5301, Destin, FL 32541-5357 2006-07-05
1902891203 Daniel Frank Jiannetto Specialist 151 Regions Way, Bldg 1 Ste D, Destin, FL 32541-5106 2005-09-13
1619269180 Anesthesia Inc Specialist 3997 Commons Dr W, Suite M, Destin, FL 32541-8443 2011-05-03
1831338185 Catherine Hudson Specialist 12815 Us Highway 98 W, Suite 114, Destin, FL 32550-3209 2009-02-10
1174720874 Destin Plastic Surgery Specialist 4485 Furling Ln, Destin, FL 32541-5331 2007-06-27
Find all providers in DESTIN

Competitor

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City DESTIN
Zip Code 32541

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Dataset Information

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.

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