13701 Bruce B Downs Boulevard
Organization Active NPI Cardiovascular Disease Physician · Tampa, FL
NPI 1609280403 · NPPES record last updated Jun 19, 2014
Key facts
- NPI
- 1609280403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- 13701 BRUCE B DOWNS BOULEVARD
- Practice address
- 13701 Bruce B Downs Blvd
Suite 101
Tampa, FL 33613-4647 - Phone
- (813) 979-9580
- Fax
- (813) 979-1574
- NPI assigned
- Jun 19, 2014
- Organization subpart
- No
Authorized official
- Name
- Miss Marisol Rodriguez
- Title
- Billing Manager
- Phone
- (813) 979-9580
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
13701 Bruce B Downs Blvd
Suite 101
Tampa, FL 33613-4647
Mailing address
13701 Bruce B Downs Blvd
Suite 101
Tampa, FL 33613-4647
Phone (813) 979-9580
Other names
- Suite 101
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.