Vein Clinic of the Palm Beaches LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

VEIN CLINIC OF THE PALM BEACHES LLC

Practice address

115 NE 3Rd St
Suite B&C
Okeechobee, FL 34972-2901

Phone

(863) 357-0888

Fax

(863) 357-1330

NPI assigned

Oct 13, 2006

Last updated

Aug 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luis R Rosas, MD

Title

Owner

Phone

(615) 507-2283

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Chang, M.D.,FACP,FACG

  • Gastroenterology Physician
  • Tampa, FL
  • NPI 1780692517

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1790875565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NE 3RD ST",
            "address_2": "SUITE B&C",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722901",
            "telephone_number": "863-357-0888",
            "fax_number": "863-357-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NE 3RD ST",
            "address_2": "SUITE B&C",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722901",
            "telephone_number": "863-357-0888",
            "fax_number": "863-357-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CLINIC OF THE PALM BEACHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "ROSAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-507-2283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triveno Dialysis, LLC (Big Lake Dialysis)
• Donald Turner, MD
• David James Underill, OD
• United Portable Diagnostic Imaging Inc
• Rachel Vargas
• Serena Vidanage, D.O.
• Zachary Scott Viens, DMD
• Jeremiah B Viray, P.T
• John Gerrity Wade, ACNP
• Mariah Danielle Wagoner, APRN

• Surgery Physician in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.