FORTUNE VEIN CLINIC
NPI 1114912698
Surgery - Vascular Surgery in Scottsdale, AZ
- Organization
- Surgery
- Vascular Surgery
About FORTUNE VEIN CLINIC
This page provides the complete NPI Profile along with additional information for Fortune Vein Clinic, a provider established in Scottsdale, Arizona operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1114912698 assigned on September 2005. The practitioner's primary taxonomy code is 2086S0129X with license number 13540 (AZ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Robert Lloyd Fortune Md (Managing Employee)
- NPI
- 1114912698 Verify this NPI
- Provider Name
- FORTUNE VEIN CLINIC
- Entity Type
- Organization
- Location Address
- 7125 E LINCOLN DR SUITE B109 SCOTTSDALE, AZ 85253
- Location Phone
- (480) 991-2100
- Location Fax
- (480) 991-2102
- Mailing Address
- 7125 E LINCOLN DR SUITE B109 SCOTTSDALE, AZ 85253
- Mailing Phone
- (480) 991-2100
- Mailing Fax
- (480) 991-2102
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-12-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 13540
- License State
- AZ
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
PARADISE VALLEY, AZ 85253
SCOTTSDALE, AZ 85253
PARADISE VALLEY, AZ 85253
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114912698, enumerated as an "organization" on September 12, 2005.
The provider is located at 7125 E LINCOLN DR SUITE B109 SCOTTSDALE, AZ 85253 and the phone number is (480) 991-2100.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
