Provider Demographics
NPI:1194179796
Name:THE VEIN & VASCULAR INSTITUTE OF SPRING HILL, PLLC
Entity Type:Organization
Organization Name:THE VEIN & VASCULAR INSTITUTE OF SPRING HILL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:KERR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-348-9088
Mailing Address - Street 1:13113 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-5052
Mailing Address - Country:US
Mailing Address - Phone:352-540-7527
Mailing Address - Fax:352-398-4166
Practice Address - Street 1:13113 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-5052
Practice Address - Country:US
Practice Address - Phone:352-540-7527
Practice Address - Fax:352-398-4166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty