# WEST FLORIDA CARDIOLOGY NETWORK, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEST FLORIDA CARDIOLOGY NETWORK, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619642618
- **Legal business name:** WEST FLORIDA CARDIOLOGY NETWORK, LLC
- **Authorized official:** WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
- **Authorized official phone:** (615) 372-3375

## Contact information

- **Practice address:** 266 S MOON AVE, BRANDON, FL 33511-5711
- **Practice address phone:** (813) 571-9988
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
- **Mailing address phone:** (615) 372-5426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2021
- **Last updated:** 08/11/2021