Organization
FLORIDA CARDIOLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOPAL CHALAVARYA MD (OWNER)
(727) 862-8383
Entity
Organization
Contact information
Practice address
13740 OFFICE PARK CT STE C, HUDSON, FL 34667-7145
(727) 862-8383
(727) 863-4766
Mailing address
PO BOX 7386, HUDSON, FL 34674-7386
(727) 863-6573
(727) 863-4766
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262003100
—
FL
01
—
45934
BCBS
FL
01
—
CH7618
RRW MCR
—
Enumeration date
09/15/2005
Last updated
06/08/2021
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