OrganizationActive
Dominion Vascular Surgical Specialists
NPI 1134966286 · Vascular Surgery Physician · Lake Mary, FL
Provider details
- NPI number
- 1134966286
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olubunmi Esan, Dr.(347) 829-0399
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1355 S International Pkwy Ste 1491
Lake Mary, FL 32746-1694
Phone: (040) 754-3641
Street-level locationGet directions
Mailing address
4300 W Lake Mary Blvd Ste 1010
Lake Mary, FL 32746-2449
Additional practice locations (2)
- 917 Rinehart Rd Ste 2041Lake Mary, FL 32746-4806Phone: (347) 829-0399
- 1691 Mayo DrTavares, FL 32778-4301Phone: (040) 754-3641
Registry dates
- Enumerated
- 2024-07-15
- Last updated
- 2024-12-16
- Certified
- 2024-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.