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Organization

NORTHEAST ATLANTA VASCULAR CARE, LLC

Active
Parent organization
NORTHEAST ATLANTA VASCULAR CARE, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHEAST ATLANTA VASCULAR CARE, LLC
Authorized official
LISA MCNAMARA (CFO)
(239) 597-2010
Entity
Organization

Contact information

Practice address
9140 CORSEA DEL FONTANA WAY, NAPLES, FL 34109-4397
(239) 597-2010
(239) 597-2313
Mailing address
9140 CORSEA DEL FONTANA WAY, NAPLES, FL 34109-4397
(239) 597-2010
(239) 597-2313

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary

Other

Enumeration date
12/31/2020
Last updated
12/31/2020
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