Organization Name: | WEST BOCA VASCULAR SURGERY P A |
NPI Number: | 1023050416 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHAMMED ABDALLAH (OWNER) |
Mailing Address: | 3467 W Hillsboro Blvd Deerfield Beach |
State: | FL US |
Postal Code: | 334429421 |
Phone Number: | 5614833989 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 10/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | OS8138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |