Provider Demographics
NPI:1386947265
Name:MIAMI VEIN CENTER, LLC
Entity type:Organization
Organization Name:MIAMI VEIN CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:I
Authorized Official - Last Name:ALMEIDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-854-1555
Mailing Address - Street 1:PO BOX 491365
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33149-7365
Mailing Address - Country:US
Mailing Address - Phone:305-854-1555
Mailing Address - Fax:786-541-2101
Practice Address - Street 1:1501 S MIAMI AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-1102
Practice Address - Country:US
Practice Address - Phone:305-854-1555
Practice Address - Fax:786-541-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-14
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty