Coastal Heart & Vascular Institute Pa

NPI 1104251230 - Specialist - 174400000X

NPI Details
NPI 1104251230
Enumeration Date 09/09/2013
Last Updated 12/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JESSICA MARITZA JESSICA
Position PRESIDENT
Phone (407) 963-3943
Fax (407) 400-7966
Practice Location
2500 BOBCAT VILLAGE CENTER RD
UNIT G
NORTH PORT FL, 34288-8476, US
Phone (407) 963-3943
Fax (407) 400-7966
Business Location
2500 BOBCAT VILLAGE CENTER RD
UNIT G
NORTH PORT FL, 34288-8476, US
Phone (407) 963-3943
Fax (407) 400-7966
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1104251230 NPI Number
 

According to our database, Coastal Heart & Vascular Institute Pa NPI is 1104251230, taxonomy code is 174400000X Coastal Heart & Vascular Institute Pa physically located at 2500 Bobcat Village Center Rd, North Port FL, 34288-8476. NPI Number 1033115704 has the healthcare provider type.

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1104251230 NPI number is provided on an as is basis without warranty of any kind. 1104251230 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Heart & Vascular Institute Pa are for informational purposes only.