Organization
HEART & VEIN CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SABANAYAGAM THANGAM M.D. (PRESIDENT)
(813) 295-5800
Entity
Organization
Contact information
Practice address
533 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 295-5800
(813) 689-8811
Mailing address
533 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 295-5800
(813) 689-8811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0061427
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME0061427
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME0061427
FL
Other
Enumeration date
04/10/2014
Last updated
04/01/2019
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