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WEST FLORIDA CARDIOLOGY NETWORK LLC NPI 1619642618


NPI Information

NPI: 1619642618
Provider Name: WEST FLORIDA CARDIOLOGY NETWORK, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 10D2286234

Address:
266 S MOON AVE
BRANDON, FL
ZIP 33511
Phone: (813) 571-9988
Get Directions

WEST FLORIDA CARDIOLOGY NETWORK, LLC is a vascular surgery surgery in Brandon, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. WEST FLORIDA CARDIOLOGY NETWORK, LLC NPI is 1619642618. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

266 S MOON AVE
BRANDON, FL
ZIP 33511-711
Phone: (813) 571-9988

The provider's authorized official is William Tedrick Johnson .
The authorized official title is Vice President and has the following contact phone number (615) 372-3375.

The CLIA number assigned to this NPI record is 10D2286234 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2021 and was last updated on 8/11/2021.


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
12086S0129XSurgeryVascular SurgeryYes

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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