# FLORIDA PROFESSIONAL MEDICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1316855885
- **Authorized official:** YAN KATSNELSON MD (CEO/OWNER)
- **Authorized official phone:** (837) 774-5300

## Contact information

- **Practice address:** 1711 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4621
- **Practice address phone:** (954) 688-3968
- **Practice address fax:** (224) 235-4652
- **Mailing address:** 304 WAINWRIGHT DR STE 130, NORTHBROOK, IL 60062-1919
- **Mailing address phone:** (847) 257-1244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2026
- **Last updated:** 08/27/2026