# ADVANCED VASCULAR SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED VASCULAR SOLUTIONS, LLC
- **Other names:** AVS Diabetic Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205509742
- **Legal business name:** ADVANCED VASCULAR SOLUTIONS, LLC
- **Authorized official:** JAD SHALHOUB (CONSULTANT)
- **Authorized official phone:** (772) 581-8900

## Contact information

- **Practice address:** 13100 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
- **Practice address phone:** (772) 581-8900
- **Mailing address:** 13100 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
- **Mailing address phone:** (772) 581-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2021
- **Last updated:** 01/19/2023