# HEARTLAND VASCULAR CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Vascular Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134804420
- **Authorized official:** KEVIN GARDNER (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (309) 680-5000

## Contact information

- **Practice address:** 2420 W NEBRASKA AVE, PEORIA, IL 61604-3112
- **Practice address phone:** (309) 680-5000
- **Mailing address:** 3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
- **Mailing address phone:** (727) 474-0090
- **Mailing address fax:** (727) 474-0055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 06/15/2023