Organization
WEST FLORIDA CARDIOLOGY NETWORK, LLC
Active
Parent organization
WEST FLORIDA CARDIOLOGY NETWORK, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST FLORIDA CARDIOLOGY NETWORK, LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
266 S MOON AVE, BRANDON, FL 33511-5711
(813) 571-9988
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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