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Organization

ORLANDO CARDIAC AND VASCULAR SPECIALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMBIT MONDAL MD (PRESIDENT)
(407) 915-5643
Entity
Organization

Contact information

Practice address
251 MAITLAND AVE, SUITE 116, ALTAMONTE SPRINGS, FL 32701
(407) 915-5643
(407) 960-2602
Mailing address
PO BOX 940145, MAITLAND, FL 32794-0145

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME95035
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
ME95035
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME87340
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008YK
FLORIDA BLUE/BCBS OF FL
FL
Enumeration date
02/16/2015
Last updated
08/01/2018
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