Organization Active NPI

Eden Vascular and Veins-FL

  • Surgery Physician
  • Atlantis, FL
National Provider Identifier
1922513241
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME108323 Issued in FL
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Maria Liza Eden GiammariaNPI 1851528616
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.