OrganizationActive
Advanced Vascular Solutions, LLC
NPI 1205509742 · General Practice Physician · Sebastian, FL
Provider details
- NPI number
- 1205509742
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advanced Vascular Solutions, LLC
- Organization subpart
- Yes
- Authorized official
- Jad Shalhoub, Consultant(772) 581-8900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
13100 US Highway 1
Sebastian, FL 32958-3735
Phone: (772) 581-8900
Approximate (ZIP-level) locationGet directions
Mailing address
13100 US Highway 1
Sebastian, FL 32958-3735
Other names (DBA / former)
- Doing business as
- Avs Diabetic Clinic
- Doing business as
- Avs Diabetic Clinic
Registry dates
- Enumerated
- 2021-07-30
- Last updated
- 2023-01-19
- Certified
- 2023-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.