VEIN CLINIC OF ST CLOUD LLC
NPI 1003774464
Radiology - Vascular & Interventional Radiology in Kissimmee, FL

Active since January 14, 2026
720 W OAK ST STE 309, KISSIMMEE, FL 34741(321) 436-1783 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vein Clinic Of St Cloud Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VEIN CLINIC OF ST CLOUD LLC (NPI 1003774464) is a healthcare organization registered as a vascular & interventional radiology in Kissimmee, Florida and active in the NPI registry since January 2026. The organization lists Jorge Antonio Larranaga, Owner, as its authorized official.

NPPES Registry Identity

NPI1003774464
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameVEIN CLINIC OF ST CLOUD LLC
Location Address720 W OAK ST STE 309Kissimmee, FL 34741-4910
Mailing Address720 W Oak St Ste 309Kissimmee, FL 34741-4910
Organization SubpartNo
Authorized OfficialJorge Antonio LarranagaOwner · (321) 436-1783
Enumeration DateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
✔ NPI 1003774464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
720 W OAK ST STE 309, Kissimmee, FL 34741

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vein Clinic Of St Cloud Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vein Clinic Of St Cloud LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1346215308
1101 N CENTRAL AVE
Kissimmee, FL 34741
(407) 851-5600
✔ PECOS✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vein Clinic Of St Cloud LLC's NPI number?

The NPI number for Vein Clinic Of St Cloud LLC is 1003774464. It was assigned to this organization in the NPPES registry on January 14, 2026.

Where is Vein Clinic Of St Cloud LLC located?

Vein Clinic Of St Cloud LLC is located at 720 W Oak St Ste 309, Kissimmee, FL 34741. The listed phone number is (321) 436-1783.

What is Vein Clinic Of St Cloud LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Vein Clinic Of St Cloud LLC enrolled in Medicare?

Yes. Vein Clinic Of St Cloud LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vein Clinic Of St Cloud LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Vein Clinic Of St Cloud LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vein Clinic Of St Cloud LLC was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.