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Organization

FIRST COAST VEIN, LLC

Active
Other names
Ponte Vedra Vein
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHID M NASIR MD (OWNER)
(904) 280-0600
Entity
Organization

Contact information

Practice address
330 A1A N, SUITE 321, PONTE VEDRA BEACH, FL 32082-1823
(904) 280-0600
Mailing address
330 A1A N, SUITE 321, PONTE VEDRA BEACH, FL 32082-1823

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/21/2014
Last updated
08/24/2016
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