Organization
HEART INSTITUTE OF TAMPA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGNACIO L GALLARDO M.D. (OWNER)
(813) 817-5073
Entity
Organization
Contact information
Practice address
602 S AUDUBON AVE, SUITE C, TAMPA, FL 33609-4217
(813) 817-5073
Mailing address
602 S AUDUBON AVE, SUITE C, TAMPA, FL 33609-4217
(813) 817-5073
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME76744
FL
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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