Organization
VASCULAR AND INTERVENTIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIO E LOPEZ MD (OWNER)
(786) 547-7655
Entity
Organization
Contact information
Practice address
7556 LAKE WORTH RD STE 103, LAKE WORTH, FL 33467-2503
(561) 864-1370
(561) 894-1372
Mailing address
7556 LAKE WORTH RD STE 103, LAKE WORTH, FL 33467-2503
(561) 864-1370
(561) 894-1372
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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