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ADVANCED VASCULAR INSTITUTE, LLC
NPI 1700640802
Radiology - Vascular & Interventional Radiology in Panama City, FL

Active since February 08, 2024
2401 STATE AVE STE 100, PANAMA CITY, FL 32405(502) 262-5980 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, Feb 8, 2024 (2 updates tracked since 2024).

About Advanced Vascular Institute, Llc NPPES

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

ADVANCED VASCULAR INSTITUTE, LLC (NPI 1700640802) is a healthcare organization registered as a vascular & interventional radiology in Panama City, Florida and active in the NPI registry since February 2024. The organization lists Ahmed Aly Farag, Cmo, as its authorized official.

NPPES Registry Identity

NPI1700640802
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameADVANCED VASCULAR INSTITUTE, LLC
Location Address2401 STATE AVE STE 100Panama City, FL 32405-3942
Mailing Address2401 State Ave Ste 100Panama City, FL 32405-3942 · (502) 262-5980
Phone(502) 262-5980
Organization SubpartNo
Authorized OfficialAhmed Aly FaragCmo · (850) 628-9177
Enumeration DateFebruary 8, 2024
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1700640802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
2401 STATE AVE STE 100, Panama City, FL 32405
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

BAY ARTHRITIS INSTITUTE
Internal Medicine (Rheumatology)
2401 STATE AVE STE 100
PANAMA CITY, FL 32405
Bay County (850) 215-3062
MR. MARION VIRGIL SANDERS IV PA-C
Physician Assistant
2401 STATE AVE STE 100
PANAMA CITY, FL 32405
Bay County (850) 628-9177
MRS. JORDAN WESTER ARNP
Nurse Practitioner (Family)
2401 STATE AVE STE 100
PANAMA CITY, FL 32405
Bay County (850) 769-2280
MRS. LAKESHA M ROWE MSN, APRN, FNP-C
Nurse Practitioner
2401 STATE AVE STE 100
PANAMA CITY, FL 32405
Bay County (850) 215-3062

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 Institute, LLC's NPI number?

The NPI number for Advanced Vascular Institute, LLC is 1700640802. It was assigned to this organization in the NPPES registry on February 8, 2024.

Where is Advanced Vascular Institute, LLC located?

Advanced Vascular Institute, LLC is located at 2401 State Ave Ste 100, Panama City, FL 32405. The listed phone number is (502) 262-5980.

What is Advanced Vascular Institute, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Advanced Vascular Institute, LLC was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.