Pinellas Vascular LLC
NPI 1174173421ActiveOrganization· Surgery, Vascular Surgery· St Petersburg, FL
Surgery, Vascular Surgery in St Petersburg, Florida, registered in NPPES in September 2019. The authorized official on file is Avianne Bunnell, MD, Owner/ Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174173421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2019 |
| Last updated in NPPES | Sep 24, 2024 |
| Certified by provider | Sep 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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