# HEART INSTITUTE OF TAMPA PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699035709
- **Authorized official:** IGNACIO L GALLARDO M.D. (OWNER)
- **Authorized official phone:** (813) 817-5073

## Contact information

- **Practice address:** 602 S AUDUBON AVE, SUITE C, TAMPA, FL 33609-4217
- **Practice address phone:** (813) 817-5073
- **Mailing address:** 602 S AUDUBON AVE, SUITE C, TAMPA, FL 33609-4217
- **Mailing address phone:** (813) 817-5073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | ME76744 | FL | Yes |

## Other

- **Enumeration date:** 05/22/2012
- **Last updated:** 05/22/2012