Organization
FLORIDA VASCULAR VEIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO NOGUERA (MD/PRESIDENT)
(410) 370-6871
Entity
Organization
Contact information
Practice address
100 S SEMORAN BLVD, ORLANDO, FL 32807-3231
(410) 370-6871
Mailing address
160 MINNEHAHA RD, MAITLAND, FL 32751
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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