Organization
FLORIDA VEINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED REISS PA (OWNER)
(407) 376-4976
Entity
Organization
Contact information
Practice address
4961 ROYAL GULF CIR, FORT MYERS, FL 33966-7006
(480) 630-2886
Mailing address
1641 E OSBORN RD STE 4, PHOENIX, AZ 85016-7146
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
11/15/2025
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