NPI 1316510910
Coastal Vascular and Interventional PLLC
Practice location
- Address
- 5149 N 9th Ave STE G21, Pensacola, FL 32504-8733
- Phone
- (850) 479-1805
- Fax
- (850) 479-1829
- Mailing address
- PO Box 11982, Pensacola, FL 32524-1982
Authorised official
- Name
- Danelle Fischer
- Title
- Administrator
- Phone
- (850) 479-1805
Registered specialties (3)
Vascular Surgery Physician
Primary
Diagnostic Radiology Physician
Vascular & Interventional Radiology Physician
Registry record
- NPI
- 1316510910
- Entity type
- Organization
- NPI issued
- 21 Jul 2021
- Record last updated
- 21 Jul 2021
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.