Provider Demographics
NPI:1417613548
Name:ENDOVASCULAR ASSOCIATES OF FLORIDA INC
Entity Type:Organization
Organization Name:ENDOVASCULAR ASSOCIATES OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SARTAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-862-4900
Mailing Address - Street 1:12 FRANKLIN PL
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1294
Mailing Address - Country:US
Mailing Address - Phone:516-862-4900
Mailing Address - Fax:
Practice Address - Street 1:12 FRANKLIN PL
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1294
Practice Address - Country:US
Practice Address - Phone:516-862-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty