Organization
HEARTLAND VASCULAR CARE PLLC
Active
Other names
Heartland Vascular Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GARDNER (CHIEF OPERATIONS OFFICER)
(309) 680-5000
Entity
Organization
Contact information
Practice address
2420 W NEBRASKA AVE, PEORIA, IL 61604-3112
(309) 680-5000
Mailing address
3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
(727) 474-0090
(727) 474-0055
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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