Provider Demographics
NPI:1144816976
Name:ATLAS VEIN CARE SPECIALISTS PA
Entity type:Organization
Organization Name:ATLAS VEIN CARE SPECIALISTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-978-8348
Mailing Address - Street 1:2636 MCDONALD TER
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-4715
Mailing Address - Country:US
Mailing Address - Phone:850-554-8182
Mailing Address - Fax:
Practice Address - Street 1:2020 HIGHWAY A1A STE 110
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-3581
Practice Address - Country:US
Practice Address - Phone:321-978-8348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty