Organization
PINELLAS VASCULAR LLC
Active
Other names
Pinellas Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
AVIANNE BUNNELL MD (OWNER/ PHYSICIAN)
(727) 999-8346
Entity
Organization
Contact information
Practice address
5880 49TH ST N STE 206, ST PETERSBURG, FL 33709-2147
(813) 997-2099
Mailing address
5260 78TH AVE N # 2776, PINELLAS PARK, FL 33781-2347
(727) 999-8346
(877) 743-4465
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/18/2019
Last updated
09/24/2024
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