Organization
SOUTHPARK VASCULAR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET DEES (PRESIDENT)
(727) 214-0462
Entity
Organization
Contact information
Practice address
445 CHARLES H DIMMOCK PKWY STE 101, COLONIAL HEIGHTS, VA 23834-2990
(804) 520-1764
(866) 781-3220
Mailing address
3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
(727) 214-0462
(727) 474-0055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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