Organization
BAY AREA HEART CENTER PA
Active
Organization
BAY AREA HEART CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA COLLIER (ADMINISTRATOR)
(727) 544-1441
Entity
Organization
Contact information
Practice address
5398 PARK ST N, ST PETERSBURG, FL 33709-1041
(727) 544-1441
(727) 545-8263
Mailing address
5398 PARK ST N, ST PETERSBURG, FL 33709-1041
(727) 544-1441
(727) 545-8263
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251949600
—
FL
Enumeration date
08/23/2005
Last updated
04/27/2023
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