MEDICARE: WEST FLORIDA CARDIOVASCULAR CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME93842	FL

General Provider Information

NPI Number	:	1518137827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST FLORIDA CARDIOVASCULAR CENTER INC

Provider Business Mailing Address
First Line	:	PO BOX 23021
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33623-2021
Country	:	US
Telephone Number	:	727-823-2188
Fax Number	:	727-828-0723

Provider Business Practice Location Address
First Line	:	2676 W LAKE RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3120
Country	:	US
Telephone Number	:	727-786-1000
Fax Number	:	727-786-1055

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VIMESH K MITHANI
Credential	:	MD
Telephone Number	:	727-786-1000

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	11/29/2024

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