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Organization
VEIN SPECIALISTS, P.A.
Active
Organization
VEIN SPECIALISTS, P.A.
Active
Other names
Medicus Veincare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M. TIDWELL M.D. (PRESIDENT)
(561) 624-0123
Entity
Organization
Contact information
Practice address
5155 CORPORATE WAY STE A, JUPITER, FL 33458-4359
(561) 624-0123
(561) 624-1453
Mailing address
5155 CORPORATE WAY STE A, JUPITER, FL 33458-4359
(561) 624-0123
(561) 624-1453
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME 62477
FL
Other
Enumeration date
09/14/2007
Last updated
04/02/2020
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