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Organization

WEST FLORIDA CARDIOLOGY NETWORK, LLC

Active
Parent organization
WEST FLORIDA CARDIOLOGY NETWORK, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST FLORIDA CARDIOLOGY NETWORK, LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization

Contact information

Practice address
11371 CORTEZ BLVD STE 212, BROOKSVILLE, FL 34613-5408
(352) 592-7318
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
10/08/2021
Last updated
10/08/2021
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