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Organization

MELBOURNE VASCULAR & ENDOVASCULAR CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FUAD M RAMADAN M.D. (OWNER)
(321) 725-8919
Entity
Organization

Contact information

Practice address
1250 S HARBOR CITY BLVD, SUITE A, MELBOURNE, FL 32901-3242
(321) 725-8919
(321) 725-8854
Mailing address
PO BOX 146, MELBOURNE, FL 32902-0146
(321) 725-8919
(321) 725-8854

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730178641
FUAD RAMADAN'S INDIV NPI
FL
05
274247100
FL
Enumeration date
09/29/2006
Last updated
05/12/2016
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