National Provider Identifier Database

DOUGLAS VASCULAR CENTER LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

DOUGLAS VASCULAR CENTER, LLC
326 SHIRLEY AVE
DOUGLAS, GA31533-2332
Phone: 727-474-0090
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for DOUGLAS VASCULAR CENTER, LLC

NPI Number 1619244555
Legal business name
LBN
DOUGLAS VASCULAR CENTER, LLC
Authorized official JANET DEES - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 11/21/2011
Last updated 04/06/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 11081332

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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