Veincare of Brevard, LLC

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

ME 38276 Issued in FL

Legal business name

VEINCARE OF BREVARD, LLC

Practice address

2712 Newfound Harbor Dr
Merritt Island, FL 32952-2866

Phone

(321) 961-2250

NPI assigned

Aug 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Robert Michael Stevens, MD

Title

Manager

Phone

(321) 961-2250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1881972347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 NEWFOUND HARBOR DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329522866",
            "telephone_number": "321-961-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 NEWFOUND HARBOR DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329522866",
            "telephone_number": "321-961-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEINCARE OF BREVARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-961-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME 38276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaunhi Van, M.D
• Zoe Marie Vancaugherty
• Margaret Vaughan, LCSW
• Susan D Vaughn, RN
• Susan Ann Vazzana, LPN
• Frank X. Venzara, M.D.
• Frank Xavier Venzara III, M.D.
• Nichole E Venzara
• Jordyn Veres
• Veritas Incare, LLC (Cedar Creek)

• Phlebology Physician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Phlebology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.