# DOMINION VASCULAR SURGICAL SPECIALISTS

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

## Provider details

- **NPI number:** 1336982644
- **Authorized official:** DR. OLUBUNMI OLATAYO ESAN MD (DR.)
- **Authorized official phone:** (347) 829-0399

## Contact information

- **Practice address:** 917 RINEHART RD STE 2041, LAKE MARY, FL 32746-4806
- **Practice address phone:** (347) 829-0399
- **Mailing address:** 917 RINEHART RD STE 2041, LAKE MARY, FL 32746-4806
- **Mailing address phone:** (347) 829-0399

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2024
- **Last updated:** 06/14/2024