VASCULAR CLINIC PLLC – NPI #1922896240
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

VASCULAR CLINIC PLLC is a surgeon located in LAKE MARY, FL. NPPES has assigned the NPI number 1922896240 to VASCULAR CLINIC PLLC on April 28, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Jan 04, 2026. 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 VASCULAR CLINIC PLLC below.

NPI Profile for
VASCULAR CLINIC PLLC

NPI Number
1922896240
Enumeration Date

(more than a year 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
VASCULAR CLINIC PLLC
Primary location
775 PRIMERA BLVD STE 1031
LAKE MARY, FL 32746-2190
Phone: (561) 957-7555 Fax:
1 Other location(s):
960 Rinehart Rd Ste 2060
Lake Mary, FL 32746-1563
Phone: (407) 603-0060
Fax: (888) 355-7757
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KHALIL MASABNI
MEDICAL DIRECTOR
Phone: (561) 957-7555
Updated
Certification Date
Jan 04, 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
2086S0129X
- Surgery / Vascular Surgery (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.