Organization Active NPI

Wazni, PLLC

  • Vascular Surgery Physician
  • Tampa, FL
National Provider Identifier
1114353026
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
WAZNI, PLLC
Practice address
3657 Madaca LN
Tampa, FL 33618-2048
Phone
(800) 991-6117
Fax
(888) 812-8191
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin McGovern
Title
Chief Financial Officer
Phone
(800) 991-6117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

3657 Madaca LN
Tampa, FL 33618-2048

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (813) 961-1331

Other practice location 1

5858 Central Ave Ste 1010
St Petersburg, FL 33707-1720
Phone (800) 991-6117

Other practice location 2

517 Eichenfeld Dr Ste 106
Brandon, FL 33511-5997
Phone (800) 991-6117

Other practice location 3

12953 Palms West Dr Ste 102
Loxahatchee, FL 33470-4991
Phone (800) 991-6117

Other practice location 4

4401 W Kennedy Blvd Ste 202
Tampa, FL 33609-2010
Phone (800) 991-6117

Other practice location 5

3003 S Florida Ave Ste 101
Lakeland, FL 33803-4050
Phone (800) 991-6117

Other practice location 6

8029 Cooper Creek Blvd Ste 104
University Park, FL 34201-3003
Phone (800) 991-6117

Other practice location 7

18167 US Highway 19 N Ste 100
Clearwater, FL 33764-6565
Phone (800) 991-6117

Other practice location 8

4215 Burns Rd Ste 260
Palm Beach Gardens, FL 33410-4627
Phone (800) 991-6117

Other practice location 9

4619 Little Rd
New Port Richey, FL 34655-1329
Phone (800) 991-6117

Other practice location 10

3217 Flagship Medical Drive Suite #201
Wesley Chapel,, FL 33543
Phone (800) 991-6117

Other practice location 11

295 NW Peacock Blvd
Port St Lucie, FL 34986-2212
Phone (800) 991-6117

Other practice location 12

16553 S US Highway 301
Wimauma, FL 33598-2032
Phone (800) 991-6117

Other practice location 13

3609 Madaca Ln
Tampa, FL 33618-2048
Phone (800) 991-6117

Other practice location 14

1900 Glades Rd Ste 100
Boca Raton, FL 33431-7333
Phone (800) 991-6117

Other practice location 15

3657 Madaca Ln
Tampa, FL 33618-2048
Phone (800) 991-6117

Other practice location 16

2290 10th Ave N Ste 101
Lake Worth, FL 33461-6609
Phone (800) 991-6117

Other practice location 17

1314 E Venice Ave Ste B
Venice, FL 34285-7160
Phone (800) 991-6117

Other practice location 18

3755 7th Ter Ste 202
Vero Beach, FL 32960-6531
Phone (800) 991-6117

Other names 2

  • United Vein & Vascular Centers Doing business as
  • United Vein Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131205000413 FL Part B Supplier - Clinic/Group Practice 2860629466 Receives reassigned benefits from 46 practitioners
Practice locations: Lake Worth, FL; Wimauma, FL; Venice, FL; University Park, FL; Tampa, FL; Port Saint Lucie, FL; New Port Richey, FL; Loxahatchee, FL…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2179026Wazni PLLC3657 Madaca LN, Tampa, FL 33618Certificate of waiverFeb 13, 2028
10D2228702Wazni PLLC2290 10TH Ave N - Ste 101, Lake Worth, FL 33461Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Locations

18167 US Highway 19 N
Ste 100
Clearwater, FL 33764
Phone (727) 233-4177

2963 Gulf To Bay Blvd
Ste 270
Clearwater, FL 33759

4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918

4215 Burns Rd
Ste 260
Palm Beach Gardens, FL 33410

295 NW Peacock Blvd
Ste 105
Port Saint Lucie, FL 34986

295 NW Peacock Blvd
Port St Lucie, FL 34986

3657 Madaca Ln
Tampa, FL 33618

8029 Cooper Creek Blvd
Ste 104
University Park, FL 34201

1314 E Venice Ave
Ste B
Venice, FL 34285

12953 Palms West Dr
Ste 102
Village of Wellington, FL 33470
Phone (561) 793-1713

16553 S US Highway 301
Wimauma, FL 33598

4700 W 95th St
Ste 303
Oak Lawn, IL 60453
Phone (312) 949-4200

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 50

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1114353026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "813-961-1331",
            "fax_number": "888-850-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182048",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5858 Central Ave Ste 1010",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337071720",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 Eichenfeld Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115997",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12953 Palms West Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334704991",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 W Kennedy Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092010",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 S Florida Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034050",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8029 Cooper Creek Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "University Park",
            "state": "FL",
            "postal_code": "342013003",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18167 US Highway 19 N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337646565",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 Burns Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104627",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4619 Little Rd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346551329",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3217 Flagship Medical Drive Suite #201",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel,",
            "state": "FL",
            "postal_code": "33543",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 NW Peacock Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349862212",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16553 S US Highway 301",
            "address_purpose": "LOCATION",
            "city": "Wimauma",
            "state": "FL",
            "postal_code": "335982032",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3609 Madaca Ln",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182048",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Glades Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334317333",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3657 Madaca Ln",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182048",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2290 10th Ave N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334616609",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 E Venice Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342857160",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3755 7th Ter Ste 202",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606531",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAZNI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "800-991-6117"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Vein & Vascular Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Vein Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.