# CENTER FOR VEIN RESTORATION FL LLC

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

## Provider details

- **NPI number:** 1124550421
- **Authorized official:** DR. SANJIV LAKHANPAL M.D. (CEO)
- **Authorized official phone:** (815) 254-1761

## Contact information

- **Practice address:** 15800 PINES BLVD, SUITE 3038, PEMBROKE PINES, FL 33027-1212
- **Practice address phone:** (855) 830-8346
- **Practice address fax:** (240) 473-4321
- **Mailing address:** 7474 GREENWAY CENTER DR, SUITE 1000, GREENBELT, MD 20770-3504
- **Mailing address phone:** (815) 254-1761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME125575 | FL | Yes |

## Other

- **Enumeration date:** 03/28/2017
- **Last updated:** 03/28/2017