Organization
VASCULAR INTERVENTIONAL PAVILION, LLC
Active
Other names
V.I.P.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JORDAN STELLER MHA (CLINIC DIRECTOR)
(727) 527-5100
Entity
Organization
Contact information
Practice address
3500 38TH AVE N, ST PETERSBURG, FL 33713-1448
(727) 527-5100
(727) 527-5119
Mailing address
3520 38TH AVE N, ST PETERSBURG, FL 33713-1448
(727) 527-5100
(727) 527-5119
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME106833
FL
2086S0129X
Vascular Surgery Physician
ME106833
FL
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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