DOMINION VASCULAR SURGICAL SPECIALISTS
NPI 1134966286
Surgery - Vascular Surgery in Lake Mary, FL

Q: What is Dominion Vascular Surgical Specialists's specialty?

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

Active since July 15, 2024

1355 S INTERNATIONAL PKWY STE 1491, LAKE MARY, FL 32746(040) 754-3641 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2024, Jul 15, 2024 (2 updates tracked since 2024).

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About Dominion Vascular Surgical Specialists NPPES

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

DOMINION VASCULAR SURGICAL SPECIALISTS (NPI 1134966286) is a healthcare organization registered as a vascular surgery in Lake Mary, Florida and active in the NPI registry since July 2024. The organization maintains 2 additional practice locations and lists Olubunmi Olatayo Esan, Dr., as its authorized official.

NPPES Registry Identity

NPI1134966286

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameDOMINION VASCULAR SURGICAL SPECIALISTS

Location Address1355 S INTERNATIONAL PKWY STE 1491Lake Mary, FL 32746-1694

Mailing Address4300 W Lake Mary Blvd Ste 1010Lake Mary, FL 32746-2449 · (347) 829-0399

Phone(040) 754-3641

Organization SubpartNo

Authorized OfficialOlubunmi Olatayo EsanDr. · (347) 829-0399

Enumeration DateJuly 15, 2024

Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration

NPPES CertifiedDecember 16, 2024

✔ NPI 1134966286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1355 S INTERNATIONAL PKWY STE 1491, Lake Mary, FL 32746

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Secondary Practice Locations 2

Location 1917 Rinehart Rd Ste 2041Lake Mary, FL 32746-4806 · Phone (347) 829-0399

Location 21691 Mayo DrTavares, FL 32778-4301 · Phone (040) 754-3641

Group Practice 1

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

Other Providers at the Same Location NPPES

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

DR. OLUBUNMI OLATAYO ESAN M.D

Surgery (Vascular Surgery)

1355 S INTERNATIONAL PKWY STE 1491
LAKE MARY, FL 32746

Seminole County (040) 754-3641

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 Dominion Vascular Surgical Specialists's NPI number?

The NPI number for Dominion Vascular Surgical Specialists is 1134966286. It was assigned to this organization in the NPPES registry on July 15, 2024.

Where is Dominion Vascular Surgical Specialists located?

Dominion Vascular Surgical Specialists is located at 1355 S International Pkwy Ste 1491, Lake Mary, FL 32746. The listed phone number is (040) 754-3641.

What is Dominion Vascular Surgical Specialists's specialty?

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

When was this NPI record last updated?

The NPPES record for Dominion Vascular Surgical Specialists was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.