# VERO VASCULAR SURGERY PA

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

## Provider details

- **NPI number:** 1235101700
- **Authorized official:** WILLIAM CLARK BECKETT M.D. (OWNER)
- **Authorized official phone:** (772) 567-6602

## Contact information

- **Practice address:** 3770 7TH TER, \#101, VERO BEACH, FL 32960-6553
- **Practice address phone:** (772) 567-6602
- **Practice address fax:** (772) 567-7754
- **Mailing address:** 3770 7TH TER, \#101, VERO BEACH, FL 32960-6553
- **Mailing address phone:** (772) 567-6602
- **Mailing address fax:** (772) 567-7754

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 01/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 72535 | BLUE CROSS BLUE SHIELD | FL |