FORT LAUDERDALE VASCULAR ACCESS, LLC (NPI# 1124380365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124380365 |
| Entity Type | Organization |
| Organization Name | FORT LAUDERDALE VASCULAR ACCESS, LLC |
| Practice Address |
3601 W Commercial Blvd Suite 21 Fort Lauderdale FL 33309-3300 |
| Mailing Address |
182 Industrial Rd Glen Rock PA 17327-8626 |
| Practice Telephone | 9544972161 |
| Practice Fax Number | 9545355507 |
| Mailing Telephone | 7177596739 |
| Mailing Fax Number | 7172354024 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2013-05-31 |
| Authorized Official Name | MR. RONALD H. RODGERS JR. (PRESIDENT) |
| Authorized Official Telephone | 6106448900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
3601 W COMMERCIAL BLVD SUITE 21 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831655406 | Living Well Management, Inc | Clinic/Center | 3601 W Commercial Blvd, Fort Lauderdale, FL 33309-3300 | 2019-02-19 |
| 1134604143 | Michelle Denise Asch | Social Worker | 3601 W Commercial Blvd, Fort Lauderdale, FL 33309 | 2018-09-26 |
| 1689171373 | Rachel Constance De Metz | Counselor | 3601 W Commercial Blvd, Fort Lauderdale, FL 33309-3300 | 2018-04-09 |
| 1548613813 | Shirley Mobley | Nurse Anesthetist, Certified Registered | 3601 W Commercial Blvd, Fort Lauderdale, FL 33309-3300 | 2016-07-21 |
| 1336599026 | Gabrielle Wallace | Nurse Anesthetist, Certified Registered | 3601 W Commercial Blvd, Ste 4/5, Fort Lauderdale, FL 33309-3300 | 2016-06-14 |
| 1295107951 | Florida Addiction and Recovery Center Inc | Substance Abuse Rehabilitation Facility | 3601 W Commercial Blvd, Suite # 35, Fort Lauderdale, FL 33309-3300 | 2015-10-21 |
| 1942692710 | Glacha V Saintlouis | Nurse Anesthetist, Certified Registered | 3601 W Commercial Blvd, Fort Lauderdale, FL 33309-3300 | 2015-03-03 |
| 1225371974 | Laura K Villalba | Nurse Anesthetist, Certified Registered | 3601 W Commercial Blvd, Suite 5, Fort Lauderdale, FL 33309-3300 | 2013-04-01 |
| 1316288921 | Daiana Jazon | Nurse Anesthetist, Certified Registered | 3601 W Commercial Blvd, Suite 5, Fort Lauderdale, FL 33309-3300 | 2013-03-06 |
| 1144564501 | Robert J Singer | Massage Therapist | 3601 W Commercial Blvd, Fort Lauderdale, FL 33309-3300 | 2012-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831180082 | James Domesek | Radiology | 1314 E Las Olas Blvd Ste 898, Fort Lauderdale, FL 33301-2334 | 2005-11-04 |
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|---|---|---|---|---|
| 1871100917 | Emergency and Interventional Specialists, Inc | Radiology | 5626 Gulf Dr Ste 100, New Port Richey, FL 34652-4020 | 2020-09-23 |
| 1548879794 | Vascular Specialist of Venice and Sarasota Pl | Radiology | 6600 University Parkway, #102, Sarasota, FL 34240 | 2020-07-23 |
| 1164060497 | Advanced Vascular Cardiac & Veins, Pllc | Radiology | 7480 Bird Rd Ste 560, Miami, FL 33155-6657 | 2019-12-17 |
| 1801437041 | Premier Interventional & Diagnostic Radiology, Corp | Radiology | 8495 Sw 56th St, Miami, FL 33155-5426 | 2019-09-30 |
| 1003476169 | Hss-florida Physicians LLC | Radiology | 1395 S State Road 7 Ste 410, Wellington, FL 33414-9327 | 2019-06-19 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1972006351 | Minimally Invasive Vascular, Inc | Radiology | 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 | 2018-03-13 |
| 1124530761 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 313 W Bass St, Kissimmee, FL 34741-5011 | 2017-11-03 |
| 1942727516 | Inspired Interventional Radiology Services LLC | Radiology | 11011 Sheridan St Ste 102, Hollywood, FL 33026-1501 | 2017-08-24 |
| 1386004901 | Precision Medical Imaging and Therapeutic Institute LLC | Radiology | 2540 Green Forest Ln, Suite #101, Lutz, FL 33558-5388 | 2016-02-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on FORT LAUDERDALE VASCULAR ACCESS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.