# ADVANCED VASCULAR SOLUTIONS, LLC

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

## Provider details

- **NPI number:** 1104459783
- **Authorized official:** JAD SHALHOUB (EXTERNAL CONSULTANT)
- **Authorized official phone:** (772) 230-4477

## Contact information

- **Practice address:** 13110 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
- **Practice address phone:** (772) 581-8900
- **Mailing address:** 13110 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
- **Mailing address phone:** (772) 581-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 02/21/2020
- **Last updated:** 07/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 108804600 | — | FL |