Organization Active NPI

Vascular Specialists of Central Florida

  • Vascular Surgery Physician
  • Clermont, FL
National Provider Identifier
1942323555
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME48437 Issued in FL
Legal business name
VASCULAR SPECIALISTS OF CENTRAL FLORIDA
Practice address
1120 Citrus Tower Blvd
Suite 120
Clermont, FL 34711-1909
Phone
(352) 241-7585
Fax
(352) 241-7595
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael J Cohen, MD
Title
Owner
Phone
(352) 241-7585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME48437 FL Primary

Addresses

Primary practice location

1120 Citrus Tower Blvd
Suite 120
Clermont, FL 34711-1909

Mailing address

1120 Citrus Tower Blvd
Suite 120
Clermont, FL 34711-1909
Phone (352) 241-7585

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942323555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CITRUS TOWER BLVD",
            "address_2": "SUITE 120",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111909",
            "telephone_number": "352-241-7585",
            "fax_number": "352-241-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CITRUS TOWER BLVD",
            "address_2": "SUITE 120",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111909",
            "telephone_number": "352-241-7585",
            "fax_number": "352-241-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SPECIALISTS OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-241-7585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME48437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.