Organization
NEXGEN ARTERY & VEIN INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA SMITH (DIRECTOR)
(914) 376-2967
Entity
Organization
Contact information
Practice address
28089 VANDERBILT DR, SUITE 201, BONITA SPRINGS, FL 34134-7521
(914) 376-2967
Mailing address
28089 VANDERBILT DR, SUITE 201, BONITA SPRINGS, FL 34134-7521
(914) 376-2967
(239) 405-8544
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/11/2013
Last updated
03/19/2015
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