| NPI | 1174173421 | 
|---|---|
| Doing Business As | PINELLAS VASCULAR | 
| Entity Type | Organization | 
| Authorized Contact | AVIANNE BUNNELL Owner/ Physician 727-999-8346  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2086S0129X | 
| Additional Taxonomies | 261Q00000X Clinic/Center | 
| Enumeration Date | 2019-09-18 | 
| Last Update Date | 2024-09-24 |