NPI 1285888180

Coastal Vascular and Interventional PLLC

Organisation Vascular Surgery Physician Pensacola, FL

Practice location

Address: 5149 N. 9th Avenue Suite 120, Pensacola, FL 32504-8734
Phone: (850) 479-1805
Fax: (850) 479-1829
Mailing address: P.O. Box 11982, Pensacola, FL 32524-1982

Authorised official

Name: Christopher J Lecroy
Title: Owner, Physician
Phone: (850) 479-1805

Registered specialties (4)

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

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Vascular & Interventional Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1285888180
Entity type: Organization
NPI issued: 5 Nov 2008
Record last updated: 12 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.