Organization
CARDIOVASCULAR SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CECELIA R. BRYANT (ADMINISTRATOR)
(407) 321-1415
Entity
Organization
Contact information
Practice address
305 N MANGOUSTINE AVE, STE 200, SANFORD, FL 32771-1004
(407) 321-1415
(407) 321-1597
Mailing address
305 N MANGOUSTINE AVE, STE 200, SANFORD, FL 32771-1004
(407) 321-1415
(407) 321-1597
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274257800
—
FL
01
—
38686
BC/BS
—
Enumeration date
05/18/2006
Last updated
09/18/2008
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