Organization
HEART VASCULAR AND VEIN OF TAMPA BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSHEDAR TAMBOLI MD (PRESIDENT)
(813) 755-3500
Entity
Organization
Contact information
Practice address
621 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 755-4500
(813) 755-3300
Mailing address
PO BOX 1910, BRANDON, FL 33509-1910
(813) 755-3500
(813) 755-3300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373330100
—
FL
Enumeration date
05/27/2020
Last updated
07/08/2020
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