Provider Demographics
NPI:1205597192
Name:SOUTHERNMOST SURGERY AND VEINS LLC
Entity type:Organization
Organization Name:SOUTHERNMOST SURGERY AND VEINS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-394-6806
Mailing Address - Street 1:3414 DUCK AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4427
Mailing Address - Country:US
Mailing Address - Phone:305-741-7707
Mailing Address - Fax:833-902-3615
Practice Address - Street 1:3414 DUCK AVE STE 10
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4427
Practice Address - Country:US
Practice Address - Phone:305-741-7707
Practice Address - Fax:833-902-3615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty