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Active NPI 1548699606 Organization (Entity Type 2)

Evolves Vascular Lab, Llc

Surgery - Vascular Surgery • Ormond Beach, FL

About Evolves Vascular Lab, Llc NPI 1548699606 Summary

Evolves Vascular Lab, Llc is a verified healthcare organization specializing in Surgery - Vascular Surgery operating in Ormond Beach, FL. Located at 588 STERTHAUS DR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1548699606.

Administrative operations and authorized compliance are overseen by Vicky Browning (Office Manager).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

588 Sterthaus Dr

Ormond Beach, FL 321745128

Telephone 3866729501
Fax 3866730308

Authorized Official Information

Authorized Contact Name

Vicky Browning

Title / Role

Office Manager

Official Telephone

3866729501

Facility Classifications & Specialties

Surgery - Vascular Surgery Primary Taxonomy

NUCC Taxonomy Code: 2086S0129X

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Surgery - Vascular Surgery

Ormond Beach, FL

View Practitioner Profile →

Surgery - Vascular Surgery

Ormond Beach, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active November 13, 2013

NPI status registered as active in NPPES database

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Updated Practice Location November 13, 2013

Registered at 588 STERTHAUS DR, ORMOND BEACH, FL 321745128 (Tel: 3866729501)

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Updated Business Mailing Address November 13, 2013

Registered at 588 STERTHAUS DR, ORMOND BEACH, FL 321745128 (Tel: 3866729501)

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Organization / Clinic Name Updated November 13, 2013

Operating as EVOLVES VASCULAR LAB, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2013

Surgery (License #58979 in FL)

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Initial NPI Registration & Enumeration November 08, 2013

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1548699606
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 08, 2013
Last Update: November 13, 2013

Mailing Address

588 Sterthaus Dr

Ormond Beach, FL 321745128

Phone: 3866729501

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.