Provider Demographics
NPI:1033555875
Name:SPECIALIST IN VASCULAR CARE, PLLC
Entity Type:Organization
Organization Name:SPECIALIST IN VASCULAR CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VASCULAR SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-404-0660
Mailing Address - Street 1:1204 HERNANDO ST
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3249
Mailing Address - Country:US
Mailing Address - Phone:239-404-0660
Mailing Address - Fax:
Practice Address - Street 1:8340 COLLIER BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-3625
Practice Address - Country:US
Practice Address - Phone:239-331-7144
Practice Address - Fax:239-595-4590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 1128302086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty