Provider Demographics
NPI:1396304960
Name:CENTRAL FLORIDA VASCULAR CENTER, PA
Entity type:Organization
Organization Name:CENTRAL FLORIDA VASCULAR CENTER, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VASCULAR SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:LINA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:VARGAS ABELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS, RPVIO
Authorized Official - Phone:216-533-0300
Mailing Address - Street 1:13528 SUMMERPORT VILLAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-7366
Mailing Address - Country:US
Mailing Address - Phone:407-612-7738
Mailing Address - Fax:407-612-7739
Practice Address - Street 1:13528 SUMMERPORT VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-7366
Practice Address - Country:US
Practice Address - Phone:407-612-7738
Practice Address - Fax:407-612-7739
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL FLORIDA VASCULAR CENTER, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-07
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty