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Export Provider Record NPI 1124205349
Vein Specialists At Royal Palm Square Inc
Organization Subpart: NO
Active
NPI Number1124205349
NPI TypeNPI-2 Organization
Provider Details
NPI1124205349
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2008-01-30
Last Updated2008-10-01
Authorized OfficialJoseph Magnant
M.D.
Phone: 2396948346
Mailing Address1510 Royal Palm Square Blvd, Ste. 101
Fort Myers, FL 33919-1068
United States
Phone: (239) 694-8346 | Fax: (239) 936-6272
📍 View Map
Primary Practice Address1510 Royal Palm Square Blvd, Ste. 101
Fort Myers, FL 33919-1068
United States
Phone: (239) 694-8346 | Fax: (239) 936-6272
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)FL1588682728NPI
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes2086S0129XFLME94904
Export Provider Record NPI 1124205349
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About NPI 1124205349

Vein Specialists At Royal Palm Square Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124205349. The organization is located in Fort Myers, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-01-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124205349?

NPI 1124205349 belongs to Vein Specialists At Royal Palm Square Inc in Fort Myers, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124205349 active?

The current status of NPI 1124205349 in the NPPES registry is Active. The record was last updated on 2008-10-01.

What specialty is NPI 1124205349?

The taxonomy for NPI 1124205349 can be viewed in the Taxonomy section above. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124205349?

You can verify NPI 1124205349 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124205349?

The primary practice address on file for NPI 1124205349 is 1510 Royal Palm Square Blvd, Fort Myers, FL 33919-1068. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124205349 issued?

NPI 1124205349 was first issued (enumerated) on 2008-01-30. The NPPES record was last updated on 2008-10-01.

Practice Location Map

Vein Specialists At Royal Palm Square Inc is located at 1510 Royal Palm Square Blvd, Fort Myers, FL. Use the map below to find directions or verify the practice location.

📍 1510 Royal Palm Square Blvd, Fort Myers, FL 33919-1068  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Vein Specialists At Royal Palm Square Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124205349. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
2086S0129XME94904FL
Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162