Organization
FLORIDA CARDIAC CONSULTANTS, INC
Active
Organization
FLORIDA CARDIAC CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SPETSIOS (ADMINISTRATOR)
(941) 917-0060
Entity
Organization
Contact information
Practice address
1540 S TAMIAMI TRL, SUITE 401, SARASOTA, FL 34239-2940
(941) 917-0060
Mailing address
1540 S TAMIAMI TRL STE 401, SARASOTA, FL 34239-2921
(941) 917-0060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057520800
—
FL
01
—
98788
BLUE CROSS/BLUE SHIELD
FL
01
—
CA6910
RAILROAD MEDICARE
FL
Enumeration date
07/15/2008
Last updated
05/09/2023
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