# ALL VEIN CLINIC INC

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

## Provider details

- **NPI number:** 1487698700
- **Authorized official:** KRISTY SMITH BSM (OFFICE MANAGER)
- **Authorized official phone:** (941) 613-3773

## Contact information

- **Practice address:** 2525 HARBOR BLVD, SUITE 202, PORT CHARLOTTE, FL 33952-5317
- **Practice address phone:** (941) 766-8346
- **Practice address fax:** (941) 629-6770
- **Mailing address:** 2525 HARBOR BLVD, SUITE 202, PORT CHARLOTTE, FL 33952-5317
- **Mailing address phone:** (941) 766-8346
- **Mailing address fax:** (941) 629-6770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME0040565 | FL | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 02/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08118 | COMMERCIAL | FL |