| NPI | 1518683242 |
|---|---|
| Doing Business As | FORT MYERS VEIN SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | JARED REISS Owner 239-687-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-25 |