Organization
CARDIOVASCULAR SOLUTIONS INSTITUTE OUTPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINO J SEDILLO MD (OWNER)
(941) 747-8789
Entity
Organization
Contact information
Practice address
2210 61ST ST W, BRADENTON, FL 34209-5527
(941) 747-8789
Mailing address
2210 61ST ST W, BRADENTON, FL 34209-5527
(941) 747-8789
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FJ639A
PROVIDER NUMBER
FL
Enumeration date
12/07/2018
Last updated
09/24/2024
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