Organization
HARBOR CARDIOLOGY & VASCULAR CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALA K NANDIGAM MD (PRESIDENT)
(941) 625-6187
Entity
Organization
Contact information
Practice address
1620 TAMIAMI TRAIL, SUITE 300, PORT CHARLOTTE, FL 33948-4017
(941) 625-6187
(941) 625-7887
Mailing address
2400 HARBOR BLVD STE 12, PORT CHARLOTTE, FL 33952-5038
(941) 625-6187
(941) 625-7887
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0048592
FL
207RC0000X
Cardiovascular Disease Physician
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Other
Enumeration date
10/17/2006
Last updated
03/16/2023
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