# VEIN SPECIALISTS AT ROYAL PALM SQUARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Joseph G. Magnant, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124205349
- **Authorized official:** DR. JOSEPH GEORGE MAGNANT M.D. (M.D.)
- **Authorized official phone:** (239) 694-8346

## Contact information

- **Practice address:** 1510 ROYAL PALM SQUARE BLVD, STE. 101, FORT MYERS, FL 33919-1068
- **Practice address phone:** (239) 694-8346
- **Practice address fax:** (239) 936-6272
- **Mailing address:** 1510 ROYAL PALM SQUARE BLVD, STE. 101, FORT MYERS, FL 33919-1068
- **Mailing address phone:** (239) 694-8346
- **Mailing address fax:** (239) 936-6272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME94904 | FL | Yes |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 10/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1588682728 | NPI | FL |