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Organization
CARDIOVASCULAR ASC LLC
Active
Organization
CARDIOVASCULAR ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA V HENDERSON (MEDICAL STAFF COORDINATOR)
(727) 455-1992
Entity
Organization
Contact information
Practice address
455 PINELLAS ST STE 260, CLEARWATER, FL 33756-3367
(727) 449-9891
(727) 451-1610
Mailing address
455 PINELLAS ST STE 400, CLEARWATER, FL 33756-3356
(727) 445-1992
(727) 445-1993
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
01/22/2026
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