Organization
BAYONET POINT CARDIAC SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL M DESANTIS MD (OWNER)
(727) 869-7497
Entity
Organization
Contact information
Practice address
14100 FIVAY RD, SUITE 300, HUDSON, FL 34667-7180
(727) 869-7497
(727) 869-7156
Mailing address
14100 FIVAY RD, SUITE 300, HUDSON, FL 34667-7180
(727) 869-7497
(727) 869-7156
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377058300
—
FL
Enumeration date
03/23/2007
Last updated
05/27/2008
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