Organization
VEIN HELP OF ORLANDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MAURIELLO MD (OWNER)
(407) 892-8484
Entity
Organization
Contact information
Practice address
4106 W LAKE MARY BLVD, STE 324, LAKE MARY, FL 32746-3315
(407) 892-8484
(407) 892-8485
Mailing address
4106 W LAKE MARY BLVD, STE 324, LAKE MARY, FL 32746-3315
(407) 892-8484
(407) 892-8485
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
BM8707804
FL
Other
Enumeration date
03/09/2008
Last updated
03/09/2008
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