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ADVANCED ENDOVASCULAR INSTITUTE
NPI 1497361943
Internal Medicine - Cardiovascular Disease in St Augustine, FL

Active since September 21, 2020CLIA 10D2217060 · Waiver
1301 PLANTATION ISLAND DR S STE 401A, ST AUGUSTINE, FL 32080(386) 232-9203(386) 222-3064 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2021, Sep 21, 2020 (2 updates tracked since 2020).

About Advanced Endovascular Institute NPPES

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

ADVANCED ENDOVASCULAR INSTITUTE (NPI 1497361943) is a healthcare organization registered as a cardiovascular disease in St Augustine, Florida and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Imraan Ansaarie, Owner, as its authorized official.

NPPES Registry Identity

NPI1497361943
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameADVANCED ENDOVASCULAR INSTITUTE
Location Address1301 PLANTATION ISLAND DR S STE 401ASt Augustine, FL 32080-3118
Mailing Address209 Pinehurst Pointe DrSaint Augustine, FL 32092-3703 · (386) 232-9203 · Fax (386) 222-3064
Phone(386) 232-9203
Fax(386) 222-3064
Organization SubpartNo
Authorized OfficialImraan AnsaarieOwner · (386) 232-9203
Enumeration DateSeptember 21, 2020
Last NPPES UpdateApril 9, 20212 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1497361943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1301 PLANTATION ISLAND DR S STE 401A, St Augustine, FL 32080
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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 MULTIPLE SINGLE SPECIALTY GROUP

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 10D2217060

Advanced Endovascular Institute · Saint Augustine, FL
Active · expires Mar 17, 2027
CLIA Number10D2217060
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorImraan Ansaarie
Laboratory Phone(262) 443-0630
Laboratory LocationAdvanced Endovascular Institute1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Endovascular Institute's NPI number?

The NPI number for Advanced Endovascular Institute is 1497361943. It was assigned to this organization in the NPPES registry on September 21, 2020.

Where is Advanced Endovascular Institute located?

Advanced Endovascular Institute is located at 1301 Plantation Island Dr S Ste 401A, St Augustine, FL 32080. The listed phone number is (386) 232-9203.

What is Advanced Endovascular Institute's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Advanced Endovascular Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2217060) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Endovascular Institute was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.