Organization
ADVANCED ENDOVASCULAR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMRAAN ANSAARIE MD (OWNER)
(386) 232-9203
Entity
Organization
Contact information
Practice address
1301 PLANTATION ISLAND DR S STE 401A, ST AUGUSTINE, FL 32080-3118
(386) 232-9203
(386) 222-3064
Mailing address
209 PINEHURST POINTE DR, SAINT AUGUSTINE, FL 32092-3703
(386) 232-9203
(386) 222-3064
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
04/09/2021
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