Cosmetic Vein Clinic of Florida Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME59036 Issued in FL

Legal business name

COSMETIC VEIN CLINIC OF FLORIDA INC

Practice address

2225 59TH St W
Suite B
Bradenton, FL 34209-7017

Phone

(941) 761-1746

Fax

(941) 761-0188

NPI assigned

Jan 30, 2009

Last updated

Feb 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph P Pecoraro, MDNPI 1750355954

Title

Owner

Phone

(941) 761-1746

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph P Pecoraro, M.D.

  • Surgery Physician
  • Bradenton, FL
  • NPI 1750355954
  Authorized official Same address or phone

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1326286204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 59TH ST W",
            "address_2": "SUITE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097017",
            "telephone_number": "941-761-1746",
            "fax_number": "941-761-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 59TH ST W",
            "address_2": "SUITE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097017",
            "telephone_number": "941-761-1746",
            "fax_number": "941-761-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC VEIN CLINIC OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "PECORARO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-761-1746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME59036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263214400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cortez Vision Center LLC
• Cortez Wellness Center
• Martina Ann Cortopassi, DPT
• Monica B Corzo Pedrosa, M.D.
• Rebecca Lynn Cosgrove, RD, LD, CDE
• Alison Cosola
• Jaclyn P Costa, AUD
• Jessica Costa, P.T, D.P.T
• Costco Wholesale Corporation (Costco Hearing Aid #1364)
• Costco Wholesale Corporation (Costco Pharmacy #1364)

• Specialist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.