Organization
HEART VASCULAR AND VEIN OF TAMPA BAY LLC
Active
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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