Organization
HEART AND VASCULAR ASSOCIATES OF TAMPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALAL HAMDAN MD (MANAGING MEMBER)
(813) 280-0202
Entity
Organization
Contact information
Practice address
2715 N MACDILL AVE, TAMPA, FL 33607-2205
(813) 280-0202
(813) 280-0203
Mailing address
PO BOX 4706, TAMPA, FL 33677-4706
(813) 280-0202
(813) 280-0203
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009WY
BLUE CROSS
FL
05
—
015515800
—
FL
Enumeration date
06/03/2015
Last updated
06/13/2024
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