Active NPI
Vein Associates, P.a.
- Phlebology Physician
- Lake Mary, FL
National Provider Identifier
1396921995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- ME38217
- Legal business name
- VEIN ASSOCIATES, P.A.
- Practice address
- 4106 W Lake Mary Blvd
Suite 325
Lake Mary, FL 32746-3315 - Phone
- (407) 708-5818
- Fax
- (407) 708-5819
- NPI assigned
- Jan 14, 2008
- Organization subpart
- Yes
- Parent organization
- VEIN ASSOCIATES OF AMERICA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Mauriello, MD
- Title
- MD
- Phone
- (407) 708-5818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | ME38217 | FL | Primary |
Addresses
Primary practice location
4106 W Lake Mary Blvd
Suite 325
Lake Mary, FL 32746-3315
Mailing address
400 International Pkwy
Suite 100
Lake Mary, FL 32746-5061
Phone (407) 708-5818
National Provider Directory
National Provider Directory- Tax ID family
- Vein Associates PA
- Part of
- Vein Associates PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Phlebology Physician
- Heathrow, FL
- NPI 1326076902
Locations
400 International Pkwy
Ste 100
Lake Mary, FL 32746
Phone (803) 808-8070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1396921995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 INTERNATIONAL PKWY",
"address_2": "SUITE 100",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465061",
"telephone_number": "407-708-5818",
"fax_number": "407-708-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4106 W LAKE MARY BLVD",
"address_2": "SUITE 325",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463315",
"telephone_number": "407-708-5818",
"fax_number": "407-708-5819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEIN ASSOCIATES, P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VEIN ASSOCIATES OF AMERICA",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "MAURIELLO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "407-708-5818",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Phlebology",
"state": "FL",
"license": "ME38217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.