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Organization
THE VEIN CLINIC
Active
Organization
THE VEIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WALTER (REIMBURSEMENT SPECIALIST)
(904) 296-0900
Entity
Organization
Contact information
Practice address
5150 BELFORT RD, BLDG 400, JACKSONVILLE, FL 32256-6025
(904) 296-0900
Mailing address
5150 BELFORT RD, JACKSONVILLE, FL 32256-6026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0036466
FL
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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