Organization Active NPI

Vein Associates, P.a.

  • Phlebology Physician
  • Lake Mary, FL
National Provider Identifier
1396921995
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
ME38217 Issued in FL
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 AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 PA2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.