Organization
FLORIDA PHLEBOLOGY INC
Active
Other names
Vein Clinics Of America
Organization subpart
No
Provider details
NPI number
Authorized official
DAN DOMAN (PRESIDENT)
(630) 725-2768
Entity
Organization
Contact information
Practice address
2000 PALM BEACH LAKES BLVD, SUITE 734, WEST PALM BEACH, FL 33409-6503
(561) 471-4050
Mailing address
1901 BUTTERFIELD RD, SUITE 220, DOWNERS GROVE, IL 60515-7915
(630) 725-2730
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
—
FL
2085R0204X
Vascular & Interventional Radiology Physician
—
FL
208600000X
Surgery Physician
Primary
—
FL
2086S0129X
Vascular Surgery Physician
—
FL
Other
Enumeration date
07/11/2006
Last updated
03/07/2012
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