Organization
ADVANCED VASCULAR CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE JEAN ANDERSON CIMCS (MEDICAL CLAIM SPECIALIST)
(850) 543-8960
Entity
Organization
Contact information
Practice address
2010 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1352
(305) 662-5200
(305) 284-7913
Mailing address
4516 E HIGHWAY 20, SUITE 226, NICEVILLE, FL 32578-9755
(305) 662-5200
(305) 284-7913
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011996100
—
FL
01
—
1063852192
NPI
—
01
—
14V4Q
BC
—
Enumeration date
10/16/2015
Last updated
01/15/2016
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