# NEXGEN ARTERY & VEIN INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1982035242
- **Authorized official:** PAULA SMITH (DIRECTOR)
- **Authorized official phone:** (914) 376-2967

## Contact information

- **Practice address:** 28089 VANDERBILT DR, SUITE 201, BONITA SPRINGS, FL 34134-7521
- **Practice address phone:** (914) 376-2967
- **Mailing address:** 28089 VANDERBILT DR, SUITE 201, BONITA SPRINGS, FL 34134-7521
- **Mailing address phone:** (914) 376-2967
- **Mailing address fax:** (239) 405-8544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 03/19/2015