Organization
HEART AND VASCULAR ASSOCIATES OF TAMPA LLC
Active
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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