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HARBOR CARDIOLOGY & VASCULAR CENTER PA NPI 1922189018


NPI Information

NPI: 1922189018
Provider Name: HARBOR CARDIOLOGY & VASCULAR CENTER PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D0294575

Address:
1620 TAMIAMI TRAIL
SUITE 300
PORT CHARLOTTE, FL
ZIP 33948
Phone: (941) 625-6187
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HARBOR CARDIOLOGY & VASCULAR CENTER PA is a cardiovascular disease internal medicine in Port Charlotte, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. HARBOR CARDIOLOGY & VASCULAR CENTER PA NPI is 1922189018. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1620 TAMIAMI TRAIL
SUITE 300
PORT CHARLOTTE, FL
ZIP 33948-017
Phone: (941) 625-6187
Fax: (941) 625-7887

The provider's authorized official is Bala K Nandigam .
The authorized official title is President and has the following contact phone number (941) 625-6187.

The CLIA number assigned to this NPI record is 10D0294575 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 3/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RC0000XInternal MedicineCardiovascular DiseaseME0048592FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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