Provider Demographics
NPI:1871921163
Name:VASCULAR ACTION, LLC
Entity type:Organization
Organization Name:VASCULAR ACTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:PIZZUTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-789-1816
Mailing Address - Street 1:230 NE 25TH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-7080
Mailing Address - Country:US
Mailing Address - Phone:352-789-1816
Mailing Address - Fax:888-224-9006
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:813-872-8480
Practice Address - Fax:813-872-8579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty