Provider Demographics
NPI:1598190308
Name:VASCULAR ACCESS CARE, LLC
Entity Type:Organization
Organization Name:VASCULAR ACCESS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLORIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:GADALEAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-244-2503
Mailing Address - Street 1:100 VALENCIA LOOP
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-6513
Mailing Address - Country:US
Mailing Address - Phone:321-244-2503
Mailing Address - Fax:407-442-0699
Practice Address - Street 1:2810 W SAINT ISABEL ST
Practice Address - Street 2:SUITE 102
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6375
Practice Address - Country:US
Practice Address - Phone:321-244-2503
Practice Address - Fax:407-442-0699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty