VEIN CLINIC OF ST CLOUD LLC – NPI #1003774464
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

VEIN CLINIC OF ST CLOUD LLC is a radiologist located in KISSIMMEE, FL. NPPES has assigned the NPI number 1003774464 to VEIN CLINIC OF ST CLOUD LLC on January 14, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VEIN CLINIC OF ST CLOUD LLC below.

NPI Profile for
VEIN CLINIC OF ST CLOUD LLC

NPI Number
1003774464
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VEIN CLINIC OF ST CLOUD LLC
Primary location
720 W OAK ST STE 309
KISSIMMEE, FL 34741-4910
Phone: (321) 436-1783 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JORGE LARRANAGA
OWNER
Phone: (321) 436-1783
Updated
Certification Date
Jan 14, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.