Organization
VASCULAR AND EMBOLIZATION SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK MITTLEIDER MD (OWNER)
(207) 749-9036
Entity
Organization
Contact information
Practice address
2300 STATE ROAD 524 STE 106, COCOA, FL 32926-5894
(321) 321-3001
(321) 321-4001
Mailing address
2300 STATE ROAD 524 STE 106, COCOA, FL 32926-5894
(321) 321-3001
(321) 321-4001
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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