Advanced Cardiovascular Center of Tampa Bay P a

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME66099 Issued in FL

Legal business name

ADVANCED CARDIOVASCULAR CENTER OF TAMPA BAY P A

Practice address

2727 W Dr Martin Luther King Jr Blvd
Suite 418
Tampa, FL 33607-6383

Phone

(813) 875-9900

Fax

(813) 873-8880

NPI assigned

Mar 5, 2008

Last updated

Jul 17, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rodney R Randall, M DNPI 1134221542

Title

Owner

Phone

(813) 875-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodney Richard Randall, M.D.

  • Cardiovascular Disease Physician
  • Tampa, FL
  • NPI 1134221542
  Medicare reassignment Care Compare group Authorized official
• Natasha Mehta, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Tampa, FL
  • NPI 1124466453
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1821268962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W MARTIN LUTHER KING BLVD",
            "address_2": "SUITE 418",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-875-9900",
            "fax_number": "813-873-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 418",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-875-9900",
            "fax_number": "813-873-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOVASCULAR CENTER OF TAMPA BAY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-875-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME66099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Comprehensive Elderly Care Services, Inc
• Advanced Dental Arts of Citrus Park, LLC

• Legal Medicine in Tampa, FL
• Providers in Tampa, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.