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Contact Information

VEIN TREATMENT CENTER OF PALM COAST P A
21 HOSPITAL DR
SUITE 260
PALM COAST, FL32164-2452
 Phone: 386-586-5344
 Fax: 386-586-5450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebology

202K00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207VH0002X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for VEIN TREATMENT CENTER OF PALM COAST P A

NPI Number 1689893224
LBN Legal business name VEIN TREATMENT CENTER OF PALM COAST P A
Authorized official NICKOLAS COLLUCCI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2007
Last updated 02/11/2013 - About 13 years ago
Identifiers
FL License # ME39243
FL License # OS4153
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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