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VASCULAR SURGERY ASSOCIATES, P.A.
NPI 1407953771
Surgery - Vascular Surgery in Tallahassee, FL

Active since September 20, 2006CLIA 10D2045685 · Waiver
2631 CENTENNIAL BLVD, STE 100, TALLAHASSEE, FL 32308(850) 877-8539(850) 877-6674 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vascular Surgery Associates, P.a. NPPES

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

VASCULAR SURGERY ASSOCIATES, P.A. (NPI 1407953771) is a healthcare organization registered as a vascular surgery in Tallahassee, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Juan Fuentes, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1407953771
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVASCULAR SURGERY ASSOCIATES, P.A.
Location Address2631 CENTENNIAL BLVD, STE 100Tallahassee, FL 32308-0588
Mailing Address2631 Centennial Blvd, Ste 100Tallahassee, FL 32308-0588 · (850) 877-8539 · Fax (850) 877-6674
Phone(850) 877-8539
Fax(850) 877-6674
Organization SubpartNo
Authorized OfficialJuan FuentesPractice Administrator · (850) 877-8539
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 30, 2017
✔ NPI 1407953771 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.
2631 CENTENNIAL BLVD, Tallahassee, FL 32308
Open in Google Maps ↗

Other Identifiers 3

Medicaid255471200FL
Medicaid300038191AGA
Medicare PIN45397

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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 10D2045685

Cardiothoracic & Vascular Surgical Associates Dba Vascular Surgery Asso · Tallahassee, FL
Active · expires Aug 16, 2026
CLIA Number10D2045685
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorLawrence D. Kaelin
Laboratory Phone(850) 531-8346
Laboratory LocationCardiothoracic & Vascular Surgical Associates Dba Vascular Surgery Asso2631 Centennial Blvd Suite 100, Tallahassee, FL 32308
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

CAREY A DELLOCK MD
Internal Medicine (Cardiovascular Disease)
2631 CENTENNIAL BLVD, SUITE 200
TALLAHASSEE, FL 32308
Leon County (850) 656-7265
MRS. CASSIE MICHELLE DAVIS ARNP-C
Nurse Practitioner (Family)
2631 CENTENNIAL BLVD, STE 100
TALLAHASSEE, FL 32308
Leon County (850) 877-8539
DR. LAWRENCE D KAELIN M.D.
Surgery (Vascular Surgery)
2631 CENTENNIAL BLVD, SUITE 100
TALLAHASSEE, FL 32308
Leon County (850) 877-8539
MRS. AMY JOHNSTON FRASER A.R.N.P.
Nurse Practitioner
2631 CENTENNIAL BLVD, SUITE 100
TALLAHASSEE, FL 32308
Leon County (850) 877-8539
MRS. CORY HUTSON COLLINS ARNP
Nurse Practitioner
2631 CENTENNIAL BLVD, SUITE 100
TALLAHASSEE, FL 32308
Leon County (850) 877-8539
MITCHELL T. MASSIE M.D.
Surgery
2631 CENTENNIAL BLVD, SUITE 100
TALLAHASSEE, FL 32308
Leon County (850) 877-8539
DR. ROBERT S BRUMBERG DO
Surgery (Vascular Surgery)
2631 CENTENNIAL BLVD, SUITE 100
TALLAHASSEE, FL 32308
Leon County (850) 877-8539
MR. CAMERON L CARROLL RPA
Radiology Practitioner Assistant
2631 CENTENNIAL BLVD, SUITE 100
TALLAHASSEE, FL 32308
Leon County (850) 877-8539

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 Vascular Surgery Associates, P.A.'s NPI number?

The NPI number for Vascular Surgery Associates, P.A. is 1407953771. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Vascular Surgery Associates, P.A. located?

Vascular Surgery Associates, P.A. is located at 2631 Centennial Blvd Ste 100, Tallahassee, FL 32308. The listed phone number is (850) 877-8539.

What is Vascular Surgery Associates, P.A.'s specialty?

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

Does Vascular Surgery Associates, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2045685) is associated with this NPI, valid through August 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vascular Surgery Associates, P.A. accept?

Health plans from Ambetter Health and Ambetter of Alabama list Vascular Surgery Associates, P.A. 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 Vascular Surgery Associates, P.A. was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.