Organization Active NPI

Florida Vein Care Specialists LLC

  • Vascular Surgery Physician
  • Davenport, FL
National Provider Identifier
1689917445
Registry record updated Mar 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME90559
Legal business name
FLORIDA VEIN CARE SPECIALISTS LLC
Practice address
40107 Highway 27
Davenport, FL 33837-5901
Phone
(863) 701-4808
NPI assigned
Mar 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2013

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

Authorized official

Name
Christopher G Meyer, M.DNPI 1134176571
Title
Owner
Phone
(863) 701-4808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X ME90559 Primary

Addresses

Primary practice location

40107 Highway 27
Davenport, FL 33837-5901

Mailing address

5001 Latrobe Dr
Windermere, FL 34786-8914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130919000222 FL Part B Supplier - Clinic/Group Practice 6305080086 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Melbourne, FL; Winter Park, FL; Palm Coast, FL; Orlando, FL; Merritt Island, FL; Lehigh Acres, FL; Lake Wales, FL; Kissimmee, FL…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

13241 Bartram Park Blvd
Unit 1809
Jacksonville, FL 32258
Phone (904) 268-3686

22411 US Highway 27
Ste A
Lake Wales, FL 33859

2955 Pineda Plaza Way
Ste 121
Melbourne, FL 32940
Phone (321) 252-3027

375 S Courtenay Pkwy
Unit 8A
Merritt Island, FL 32952

7940 Via Dellagio Way
Ste 112
Orlando, FL 32819

17 Old Kings Rd N
Ste B
Palm Coast, FL 32137
Phone (386) 986-2439

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7464/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364601600000",
    "number": "1689917445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 LATROBE DR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40107 HIGHWAY 27",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375901",
            "telephone_number": "863-701-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA VEIN CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-30",
        "last_updated": "2013-03-30",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-701-4808",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": "ME90559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.