# ADVANCED VASCULAR SOLUTIONS, LLC

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

## Provider details

- **NPI number:** 1689429219
- **Authorized official:** STEPHANIE CAMPION (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (772) 581-8900

## Contact information

- **Practice address:** 1250 S HARBOR CITY BLVD, MELBOURNE, FL 32901-3242
- **Practice address phone:** (321) 725-8919
- **Mailing address:** 1250 S HARBOR CITY BLVD, MELBOURNE, FL 32901-3242
- **Mailing address phone:** (321) 725-8919

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2024
- **Last updated:** 04/18/2024