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Organization
HEARTLAND VASCULAR CARE PLLC
Active
Organization
HEARTLAND VASCULAR CARE PLLC
Active
Other names
Heartland Vascular Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GARDNER (CHIEF OPERATIONS OFFICER)
(309) 680-5000
Entity
Organization
Contact information
Practice address
2420 W NEBRASKA AVE, PEORIA, IL 61604-3112
(309) 680-5000
Mailing address
3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
(727) 474-0090
(727) 474-0055
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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