Organization
CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN B MAIR (CEO)
(727) 445-1992
Entity
Organization
Contact information
Practice address
1840 MEASE DR, SUITE 202, SAFETY HARBOR, FL 34695-6602
(727) 725-6246
(727) 726-5865
Mailing address
455 PINELLAS ST, SUITE 400, CLEARWATER, FL 33756-3354
(727) 445-1992
(727) 445-1993
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119872601
—
FL
Enumeration date
04/16/2010
Last updated
10/17/2024
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