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BRANDON CARDIOLOGY CLINIC PA NPI 1053338954


NPI Information

NPI: 1053338954
Provider Name: BRANDON CARDIOLOGY CLINIC PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
320 OAKFIELD DR
BRANDON, FL
ZIP 33511
Phone: (813) 689-1912
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BRANDON CARDIOLOGY CLINIC PA is a cardiovascular disease internal medicine in Brandon, 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. BRANDON CARDIOLOGY CLINIC PA NPI is 1053338954. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

320 OAKFIELD DR
BRANDON, FL
ZIP 33511-723
Phone: (813) 689-1912
Fax: (813) 684-3335

The provider's authorized official is Dallas Dunne .
The authorized official title is Billing Rep and has the following contact phone number (813) 685-2191.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 12/1/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERFLORIDATIN#

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: 4/28/2024

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