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Organization
CENTER FOR VEIN RESTORATION FL LLC
Active
Organization
CENTER FOR VEIN RESTORATION FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJIV LAKHANPAL M.D. (CEO)
(815) 254-1761
Entity
Organization
Contact information
Practice address
15800 PINES BLVD, SUITE 3038, PEMBROKE PINES, FL 33027-1212
(855) 830-8346
(240) 473-4321
Mailing address
7474 GREENWAY CENTER DR, SUITE 1000, GREENBELT, MD 20770-3504
(815) 254-1761
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME125575
FL
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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