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MPM CARDIOLOGY SERVICES LLC NPI 1114295698


NPI Information

NPI: 1114295698
Provider Name: MPM CARDIOLOGY SERVICES LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
300 PARK PLACE BLVD
SUITE 170
CLEARWATER, FL
ZIP 33759
Phone: (727) 532-0002
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MPM CARDIOLOGY SERVICES LLC is a cardiovascular disease internal medicine in Clearwater, 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. MPM CARDIOLOGY SERVICES LLC NPI is 1114295698. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 PARK PLACE BLVD
SUITE 170
CLEARWATER, FL
ZIP 33759-932
Phone: (727) 532-0002
Fax: (727) 266-4928

The provider's authorized official is Glenn D. Waters .
The authorized official title is President and has the following contact phone number (727) 532-1355.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 6/16/2015.


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 DiseaseYes

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
1GY612BMEDICARE PINFLORIDA
2008209100MEDICAIDFLORIDA
3GY612AMEDICARE PINFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.