# COLUMBUS VASCULAR CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073938171
- **Authorized official:** LISA MCNAMARA (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (239) 597-2010

## Contact information

- **Practice address:** 6503 E BROAD ST, COLUMBUS, OH 43213-1692
- **Practice address phone:** (740) 400-0012
- **Mailing address:** 9140 CORSEA DEL FONTANA WAY, NAPLES, FL 34109-4397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2014
- **Last updated:** 03/01/2023