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HEART AND VASCULAR ASSOCIATES OF TAMPA LLC NPI 1154701365


NPI Information

NPI: 1154701365
Provider Name: HEART AND VASCULAR ASSOCIATES OF TAMPA LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
17 DAVIS BLVD
SUITE 313
TAMPA, FL
ZIP 33606
Phone: (813) 280-0202
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HEART AND VASCULAR ASSOCIATES OF TAMPA LLC is a cardiovascular disease internal medicine in Tampa, 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. HEART AND VASCULAR ASSOCIATES OF TAMPA LLC NPI is 1154701365. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17 DAVIS BLVD
SUITE 313
TAMPA, FL
ZIP 33606-475
Phone: (813) 280-0202
Fax: (813) 280-0203

The provider's authorized official is Talal Shawki Hamdan .
The authorized official title is Managing Member and has the following contact phone number (813) 280-0202.

The enumeration date for this NPI number is 6/3/2015 and was last updated on 11/18/2016.


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
1009WYOTHERFLORIDABLUE CROSS
2GV187YMEDICARE PINFLORIDA
3II663AMEDICARE PINFLORIDA
4015515800MEDICAIDFLORIDA

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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