| 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 |