| NPI | 1598916611 |
|---|---|
| Doing Business As | VEIN CARE PAVILION OF FLORIDA |
| Entity Type | Organization |
| Authorized Contact | KEITH L DAVIS Partner 706-854-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: FL ME102815) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME23742) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |