Advanced Vascular Care Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ADVANCED VASCULAR CARE INC

Practice address

2010 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1352

Phone

(305) 662-5200

Fax

(305) 284-7913

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Debbie Jean Anderson, CIMCS

Title

Medical Claim Specialist

Phone

(850) 543-8960

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1518338565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 E HIGHWAY 20",
            "address_2": "SUITE 226",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789755",
            "telephone_number": "305-662-5200",
            "fax_number": "305-284-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 LEWIS TURNER BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471352",
            "telephone_number": "305-662-5200",
            "fax_number": "305-284-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VASCULAR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MEDICAL CLAIM SPECIALIST",
        "authorized_official_telephone_number": "850-543-8960",
        "authorized_official_credential": "CIMCS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063852192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "14V4Q",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011996100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason H Adams, MD
• Rachel Adele Adams, PHARMD
• Adapthealth Patient Care Solutions LLC
• Alexander Adelsberger, D.O.
• Michelle Jo Adkins, PA-C
• Aegis Bloom, LLC
• Aegis Group Practice LLC
• Joseph R Agostinelli, DPM PA
• Eileen R Ahlers Garcia, LMT
• Akrmp Hearing Group, Inc.

• Surgery Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.