Active NPI
Fort Lauderdale Vascular Access, LLC
- Vascular & Interventional Radiology Physician
- Fort Lauderdale, FL
National Provider Identifier
1124380365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- FORT LAUDERDALE VASCULAR ACCESS, LLC
- Practice address
- 3601 W Commercial Blvd
Suite 21
Fort Lauderdale, FL 33309-3300 - Phone
- (954) 497-2161
- Fax
- (954) 535-5507
- NPI assigned
- Jun 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ronald H. Rodgers Jr.
- Title
- President
- Phone
- (610) 644-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
3601 W Commercial Blvd
Suite 21
Fort Lauderdale, FL 33309-3300
Mailing address
182 Industrial Rd
Glen Rock, PA 17327-8626
Phone (717) 759-6739
National Provider Directory
National Provider DirectoryLocations
3601 W Commercial Blvd
Ste 21
Ft Lauderdale, FL 33309
Phone (954) 497-2161
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1639300981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369958400000",
"number": "1124380365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 INDUSTRIAL RD",
"city": "GLEN ROCK",
"state": "PA",
"postal_code": "173278626",
"telephone_number": "717-759-6739",
"fax_number": "717-235-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W COMMERCIAL BLVD",
"address_2": "SUITE 21",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093300",
"telephone_number": "954-497-2161",
"fax_number": "954-535-5507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT LAUDERDALE VASCULAR ACCESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-13",
"last_updated": "2013-05-31",
"status": "A",
"authorized_official_last_name": "RODGERS",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-644-8900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Fort Lauderdale Psychiatric Services PA
- Fort Lauderdale Psychiatrists LLC
- Fort Lauderdale Psychology PA
- Fort Lauderdale Renal Dialysis LLC
- Fort Lauderdale Surgical Specialists P a
- Karrah S Fort, MSW, LCSW
- Theresa Redoble Fortaleza-Dawson, M.D.
- Blake Hugo Fortes, MD
- Anne M. M Fortunat Salomon
- Valeria Fortunato
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.