OrganizationActive
Advanced Vascular Institute, LLC
NPI 1700640802 · Vascular & Interventional Radiology Physician · Panama City, FL
Provider details
- NPI number
- 1700640802
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Ahmed Farag, Cmo
Practice location
2401 State Ave Ste 100
Panama City, FL 32405-3942
Phone: (502) 262-5980
Mailing address
2401 State Ave Ste 100
Panama City, FL 32405-3942
Registry dates
- Enumerated
- 2024-02-08
- Last updated
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.