Organization
HEART & VASCULAR CENTER OF BRADENTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J SUBBIONDO MD (OWNER/MANAGING PARTNER)
(941) 761-4448
Entity
Organization
Contact information
Practice address
6001 21ST AVE W, BRADENTON, FL 34209-7847
(941) 761-4448
(941) 761-0235
Mailing address
6001 21ST AVE W, BRADENTON, FL 34209-7847
(941) 761-4448
(941) 761-0235
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261186400
—
FL
Enumeration date
09/29/2005
Last updated
02/21/2017
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