NPI | 1003478827 |
---|---|
Doing Business As | AGELESS VEIN CENTER |
Entity Type | Organization |
Authorized Contact | MEGAN ELIZABETH DEACON-CASEY Medical Director 904-990-8484 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Enumeration Date | 2019-07-01 |
Last Update Date | 2019-07-01 |