# USA VEIN CLINICS OF MIAMI, LLC

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

## Provider details

- **NPI number:** 1497439020
- **Authorized official:** YAN KATSNELSON (CEO)
- **Authorized official phone:** (847) 593-8460

## Contact information

- **Practice address:** 19451 S TAMIAMI TRL, FORT MYERS, FL 33908-4817
- **Practice address phone:** (239) 747-2133
- **Mailing address:** PO BOX 971, NORTHBROOK, IL 60065-0971

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2023
- **Last updated:** 06/14/2023