Organization
CARDIAC SURGERY ASSOCIATES OF TAMPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC B BLOOM M.D. (MANAGING PARTNER)
(813) 910-0027
Entity
Organization
Contact information
Practice address
3000 E FLETCHER AVE, SUITE 320, TAMPA, FL 33613-4656
(813) 910-0027
(813) 971-1286
Mailing address
3000 E FLETCHER AVE, SUITE 320, TAMPA, FL 33613-4656
(813) 910-0027
(813) 971-1286
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256523400
—
FL
Enumeration date
08/31/2006
Last updated
10/26/2011
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