Florida Endovascular Associates LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

FLORIDA ENDOVASCULAR ASSOCIATES LLC

Practice address

360 Central Ave Ste 800
Saint Petersburg, FL 33701-3984

Phone

(713) 575-3686

Fax

(713) 575-3688

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Sean M. Mullen

Title

Ceo

Phone

(347) 886-4420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1144037482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LAURA ST STE 2500",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023646",
            "telephone_number": "713-575-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 800",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013984",
            "telephone_number": "713-575-3686",
            "fax_number": "713-575-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ENDOVASCULAR ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-886-4420"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Em-I Medical Services PA
• Florida Em-I Medical Services PA
• Florida Em-I Medical Services PA
• Florida Emi Medical Services PA
• Florida Endocrinology & Diabetes Center LLC
• Florida Eye Center
• Florida Eye Center
• Florida Eye Center PA
• Florida Family Medicine LLC
• Florida HHC Corp.

• Vascular & Interventional Radiology Physician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.