Organization
LARGO CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JOHANNESSEN (VICE PRESIDENT)
(727) 793-6004
Entity
Organization
Contact information
Practice address
THREE MARYLAND FARMS, SUITE 250, BRENTWOOD, TN 37027
(615) 372-5024
(866) 899-5924
Mailing address
2401 WEST BAY DRIVE, SUITE 503, LARGO, FL 33770
(727) 585-0900
(727) 585-0950
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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