MINIMALLY INVASIVE VASCULAR, INC


Address: 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301
Phone: 9044440474

MINIMALLY INVASIVE VASCULAR, INC (NPI# 1972006351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972006351
Entity Type Organization
Organization Name MINIMALLY INVASIVE VASCULAR, INC
Practice Address 2720 Us Highway 1 S Ste C
St Augustine
FL 32086-6301
Practice Telephone 9044440474
Enumeration Date 2018-03-13
Last Update Date 2018-03-13
Authorized Official Name JERI MANCUSO (CREDENTIALING/BILLING SPRECIALIST)
Authorized Official Telephone 9044440474
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 2720 US HIGHWAY 1 S STE C
City ST AUGUSTINE
State FL
Zip Code 32086-6301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821585811 Kok L. Chong Md Pa Radiology 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 2018-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225670037 Ramonica Flagler Nurse Practitioner 3574 Us-1 South, St. Augustine, FL 32086 2019-10-14
1518522648 Marissa Marie Lynch Physician Assistant 100 Whetstone Pl Ste 102, St Augustine, FL 32086 2019-05-03
1346706991 Castillo Transportation Non-emergency Medical Transport (VAN) 295 North Hidden Tree Dr, Saint Augustine, FL 32086 2019-02-19
1790255842 Michelle Moore In Home Supportive Care 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 2018-12-03
1649740200 Paul James Lietz IIi Physical Therapist One Orthopedic Place, Saint Augustine, FL 32086 2018-11-27
1548764707 Oceanside Endodontics Od St. Augustine Dentist 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 2018-03-22
1023538329 Joseph R Edwards Physical Therapist 968 Espinado Avenue, St Augustine, FL 32086 2017-06-27
1235662032 Jennifer L Csenge Dentist 4327 Us Highway 1 S, St Augustine, FL 32086 2017-04-07
1336683663 Lisa Brice Social Worker 248 Southpark Circle East, Saint Augustine, FL 32086 2016-12-06
1558813303 Bio-medical Applications of Florida, Inc. Clinic/Center 65 Whitehall Drive, Saint Augustine, FL 32086 2016-10-27
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821585811 Kok L. Chong Md Pa Radiology 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 2018-04-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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
1598172405 Warren Swee Md Pa Radiology 2580 Metrocentre Blvd Suite 3, West Palm Beach, FL 33407 2014-07-14
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Competitor

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City ST AUGUSTINE
Zip Code 32086

Improve Information

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Dataset Information

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.

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