# ELITE VEIN CENTER OF DESTIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE VEIN CENTER OF FLORIDA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548343098
- **Authorized official:** DR. JAMES MARCUS JIMENEZ M.D. (MANAGER)
- **Authorized official phone:** (850) 837-4043

## Contact information

- **Practice address:** 12671 EMERALD COAST PKWY, SUITE 210, DESTIN, FL 32550-8300
- **Practice address phone:** (850) 837-4043
- **Practice address fax:** (850) 837-5245
- **Mailing address:** 12671 EMERALD COAST PKWY, SUITE 210, DESTIN, FL 32550-8300
- **Mailing address phone:** (850) 837-4043
- **Mailing address fax:** (850) 837-5245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME82824 | FL | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/22/2020