Organization
CARDIAC SURGICAL ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE PATRICK (PRACTICE MANAGER)
(727) 527-9779
Entity
Organization
Contact information
Practice address
6006 49TH ST N, STE 310, ST PETERSBURG, FL 33709-2149
(727) 527-9779
(727) 522-0415
Mailing address
6006 49TH ST N, STE 310, ST PETERSBURG, FL 33709-2149
(727) 527-9779
(727) 522-0415
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040683001
CIGNA
FL
01
—
133851
WELLCARE
FL
01
—
18-00123
UNITED
—
01
—
2122308
HUMANA
FL
01
—
213046
AMERIGROUP
FL
01
—
239304
AVMED
FL
05
—
254837200
—
FL
01
—
3303663
AETNA
FL
Enumeration date
06/14/2005
Last updated
05/09/2014
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