Active NPI
Eden Vascular and Veins-FL
- Surgery Physician
- Atlantis, FL
National Provider Identifier
1922513241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME108323
- Legal business name
- EDEN VASCULAR AND VEINS-FL
- Practice address
- 101 JFK Dr
Atlantis, FL 33462-1119 - Phone
- (561) 357-2020
- Fax
- (561) 357-2022
- NPI assigned
- Dec 8, 2017
- Last updated
- Mar 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Liza Eden Giammaria
- Title
- Founder/Medical Director
- Phone
- (646) 783-2570
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 261146-1 | NY | |
| Surgery Physician | 208600000X | ME108323 | FL | Primary |
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | ME108323 | FL | |
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | 261146-1 | NY | |
| Phlebology Physician | 202K00000X | ME108323 | FL | |
| Phlebology Physician | 202K00000X | 261146-1 | NY |
Addresses
Primary practice location
101 JFK Dr
Atlantis, FL 33462-1119
Mailing address
PO Box 330030
Miami, FL 33233-0030
Phone (646) 783-2570
Other practice location 1
906 NE 26th Ave
Fort Lauderdale, FL 33304-3607
Phone (954) 376-6255
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Phlebology Physician
- New York, NY
- NPI 1851528616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1922513241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330030",
"city": "MIAMI",
"state": "FL",
"postal_code": "332330030",
"telephone_number": "646-783-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 JFK DR",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621119",
"telephone_number": "561-357-2020",
"fax_number": "561-357-2022"
}
],
"practiceLocations": [
{
"address_1": "906 NE 26th Ave",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333043607",
"country_code": "US",
"telephone_number": "954-376-6255",
"fax_number": "646-461-2545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EDEN VASCULAR AND VEINS-FL",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-08",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "EDEN GIAMMARIA",
"authorized_official_first_name": "MARIA LIZA",
"authorized_official_title_or_position": "FOUNDER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "646-783-2570",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "261146-1",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME108323",
"primary": true
},
{
"code": "246XC2903X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
"state": "FL",
"license": "ME108323",
"primary": false
},
{
"code": "246XC2903X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
"state": "NY",
"license": "261146-1",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "FL",
"license": "ME108323",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "NY",
"license": "261146-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.