| Premier Vein & Vascular | |
|
4700 N Habana Ave Ste 201 Tampa FL 33614-7117 | |
| (813) 513-3030 | |
| (885) 861-0819 |
| Full Name | Premier Vein & Vascular |
|---|---|
| Speciality | Internal Medicine |
| Location | 4700 N Habana Ave Ste 201, Tampa, Florida |
| Authorized Official Name and Position | Jordan M Steller (DIRECTOR) |
| Authorized Official Contact | 7272449591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Vein & Vascular 515 Missouri Ave N Largo FL 33770-1534 Ph: (727) 527-5100 | Premier Vein & Vascular 4700 N Habana Ave Ste 201 Tampa FL 33614-7117 Ph: (813) 513-3030 |
| NPI Number | 1558507582 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 05/30/2023 |
| Medicare PECOS PAC ID | 2769529247 |
|---|---|
| Medicare Enrollment ID | O20091103000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558507582 | NPI | - | NPPES |
| Provider Name | Saleem I Saiyad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104824861 PECOS PAC ID: 7719875384 Enrollment ID: I20040305000575 |
| Provider Name | Jaggers C. Keene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992732317 PECOS PAC ID: 3173660651 Enrollment ID: I20091103000142 |
| Provider Name | Avianne Bunnell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285066019 PECOS PAC ID: 1658693395 Enrollment ID: I20190617000345 |
| Provider Name | Stephanie Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720724115 PECOS PAC ID: 1254719206 Enrollment ID: I20220602001432 |
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