Organization
UPPERLINE VEIN & VASCULAR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KING (MANAGER)
(401) 787-0999
Entity
Organization
Contact information
Practice address
1890 LPGA BLVD STE 250, DAYTONA BEACH, FL 32117-7131
(386) 281-3524
Mailing address
102 WOODMONT BLVD STE 450, NASHVILLE, TN 37205-5202
(615) 627-2205
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/22/2024
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