# BOCA RATON VASCULAR SURGERY PA

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

## Provider details

- **NPI number:** 1255153912
- **Authorized official:** SEYED-MOJTABA GASHTI DO (PRESIDENT)
- **Authorized official phone:** (561) 331-0808

## Contact information

- **Practice address:** 21966 CANADENSIS CIR, BOCA RATON, FL 33428-3911
- **Practice address phone:** (561) 331-0808
- **Mailing address:** 6415 LAKE WORTH RD STE 102, GREENACRES, FL 33463-3009
- **Mailing address phone:** (561) 331-0808

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2024
- **Last updated:** 10/24/2024