Organization
INTERVENTIONAL CARDIAC CONSULTANTS PLC
Active
Other names
Interventional Cardiac Consultants PLC
Organization subpart
No
Provider details
NPI number
Authorized official
RENE E KUNHARDT MD (AUTHORIZED OFFICIAL / MD)
(727) 842-9486
Entity
Organization
Contact information
Practice address
2035 LITTLE RD, TRINITY, FL 34655-4421
(727) 842-9486
(727) 849-2623
Mailing address
2035 LITTLE RD, TRINITY, FL 34655-4421
(727) 842-9486
(727) 849-2623
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260351900
—
FL
01
—
40897
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/07/2005
Last updated
03/09/2018
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