Organization
ADVANCED VASCULAR SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAD SHALHOUB (EXTERNAL CONSULTANT)
(772) 230-4477
Entity
Organization
Contact information
Practice address
13110 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
(772) 581-8900
Mailing address
13110 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
(772) 581-8900
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108804600
—
FL
Enumeration date
02/21/2020
Last updated
07/28/2025
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