| NPI | 1417208521 | 
|---|---|
| Doing Business As | LIFELINE VASCULAR CENTER - FT LAUDERDALE | 
| Entity Type | Organization | 
| Authorized Contact | JAMES HILGER Chief Accounting Officer 253-280-9501  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology | 
| 2086S0129X | |
| Enumeration Date | 2012-09-28 | 
| Last Update Date | 2012-09-28 |