ADVANCED VASCULAR SOLUTIONS, LLC
NPI 1104459783
Surgery - Vascular Surgery in Sebastian, FL

Active since February 21, 2020CLIA 10D2262342 · Waiver
13110 US HIGHWAY 1, SEBASTIAN, FL 32958(772) 581-8900 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2023, Jan 11, 2023, Sep 7, 2022 and 1 more (4 updates tracked since 2020).

About Advanced Vascular Solutions, Llc NPPES

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

ADVANCED VASCULAR SOLUTIONS, LLC (NPI 1104459783) is a healthcare organization registered as a vascular surgery in Sebastian, Florida and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through June 12, 2028, maintains 2 additional practice locations, and lists Jad Shalhoub, External Consultant, as its authorized official.

NPPES Registry Identity

NPI1104459783
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameADVANCED VASCULAR SOLUTIONS, LLC
Location Address13110 US HIGHWAY 1Sebastian, FL 32958-3735
Mailing Address13110 Us Highway 1Sebastian, FL 32958-3735 · (772) 581-8900
Organization SubpartNo
Authorized OfficialJad ShalhoubExternal Consultant · (772) 230-4477
Enumeration DateFebruary 21, 2020
Last NPPES UpdateJuly 28, 20254 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
NPI 1104459783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedGeneral PracticeTaxonomy 208D00000X
13110 US HIGHWAY 1, Sebastian, FL 32958

Secondary Practice Locations 2

Location 11250 S Harbor City BlvdMelbourne, FL 32901-3242 · Phone (321) 725-8919
Location 213100 US Highway 1Sebastian, FL 32958-3735 · Phone (772) 581-8900 · Fax (772) 581-4478

Other Identifiers 1

Medicaid108804600FL

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2262342

Advanced Vascular Solutions LLC · Sebastian, FL
Active · expires Jun 12, 2028
CLIA Number10D2262342
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorLori Gibbons
Laboratory Phone(772) 581-8900
Laboratory LocationAdvanced Vascular Solutions LLC13100 Us Hwy 1, Sebastian, FL 32958
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
13110 US HIGHWAY 1
SEBASTIAN, FL 32958
Nurse Practitioner (Adult Health)
13110 US HIGHWAY 1
SEBASTIAN, FL 32958
Nurse Practitioner (Family)
13110 US HIGHWAY 1
SEBASTIAN, FL 32958
Nurse Practitioner (Family)
13110 US HIGHWAY 1
SEBASTIAN, FL 32958
Surgery (Vascular Surgery)
13110 US HIGHWAY 1
SEBASTIAN, FL 32958

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 Advanced Vascular Solutions, LLC's NPI number?

The NPI number for Advanced Vascular Solutions, LLC is 1104459783. It was assigned to this organization in the NPPES registry on February 21, 2020.

Where is Advanced Vascular Solutions, LLC located?

Advanced Vascular Solutions, LLC is located at 13110 Us Highway 1, Sebastian, FL 32958. The listed phone number is (772) 581-8900.

What is Advanced Vascular Solutions, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Advanced Vascular Solutions, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2262342) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Vascular Solutions, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Advanced Vascular Solutions, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Vascular Solutions, LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.