Organization
PALM VASCULAR CENTER OF BROWARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ROGERS (CEO)
(914) 720-3686
Entity
Organization
Contact information
Practice address
3109 STIRLING RD, SUITE 100, FORT LAUDERDALE, FL 33312-6558
(914) 720-3686
Mailing address
3109 STIRLING RD, SUITE 100, FORT LAUDERDALE, FL 33312-6558
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
FL
2086S0129X
Vascular Surgery Physician
—
FL
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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