# VASCULAR CLINIC PLLC

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

## Provider details

- **NPI number:** 1922896240
- **Authorized official:** DR. KHALIL MASABNI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (561) 957-7555

## Contact information

- **Practice address:** 775 PRIMERA BLVD STE 1031, LAKE MARY, FL 32746-2190
- **Practice address phone:** (561) 957-7555
- **Mailing address:** 775 PRIMERA BLVD STE 1031, LAKE MARY, FL 32746-2190
- **Mailing address phone:** (561) 957-7555

## Taxonomy

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

## Other

- **Enumeration date:** 04/28/2025
- **Last updated:** 01/04/2026