OrganizationActive
Advanced Vascular Solutions, LLC
NPI 1104459783 · Vascular Surgery Physician · Sebastian, FL
Provider details
- NPI number
- 1104459783
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jad Shalhoub, External Consultant(772) 230-4477
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13110 US Highway 1
Sebastian, FL 32958-3735
Phone: (772) 581-8900
Approximate (ZIP-level) locationGet directions
Mailing address
13110 US Highway 1
Sebastian, FL 32958-3735
Additional practice locations (2)
- 1250 S Harbor City BlvdMelbourne, FL 32901-3242Phone: (321) 725-8919
- 13100 US Highway 1Sebastian, FL 32958-3735Phone: (772) 581-8900Fax: (772) 581-4478
Registry dates
- Enumerated
- 2020-02-21
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.