Organization Active NPI

South Florida Vascular Institute PLLC

  • Vascular Surgery Physician
  • Miami, FL
National Provider Identifier
1639995103
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SOUTH FLORIDA VASCULAR INSTITUTE PLLC
Practice address
8950 SW 74TH CT Ste 1408
Miami, FL 33156-3173
Phone
(833) 735-3668
Fax
(866) 897-7014
NPI assigned
Nov 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Paul Hanna, DO
Title
Owner - Ceo
Phone
(833) 735-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

8950 SW 74TH CT Ste 1408
Miami, FL 33156-3173

Mailing address

8950 SW 74TH CT Ste 1408
Miami, FL 33156-3173
Phone (833) 735-3668

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1639995103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT STE 1408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563173",
            "telephone_number": "833-735-3668",
            "fax_number": "866-897-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 74TH CT STE 1408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563173",
            "telephone_number": "833-735-3668",
            "fax_number": "866-897-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA VASCULAR INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER - CEO",
        "authorized_official_telephone_number": "833-735-3668",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.