# DOUGLAS VASCULAR CENTER, LLC

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

## Provider details

- **NPI number:** 1619244555
- **Authorized official:** MRS. JANET R DEES MANAGING MEMBER (MANAGING MEMBER)
- **Authorized official phone:** (727) 474-0090

## Contact information

- **Practice address:** 326 SHIRLEY AVE, DOUGLAS, GA 31533-2332
- **Practice address phone:** (727) 474-0090
- **Mailing address:** 3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
- **Mailing address phone:** (727) 474-0090
- **Mailing address fax:** (727) 474-0055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 11081332 | FL | Yes |

## Other

- **Enumeration date:** 11/21/2011
- **Last updated:** 04/06/2018
