Healthcare Provider Details

I. General information

NPI: 1912175290
Provider Name (Legal Business Name): SOUTH SHORE CARDIOVASCULAR ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S KINGS AVE
BRANDON FL
33511-5919
US

IV. Provider business mailing address

425 S KINGS AVE
BRANDON FL
33511-5919
US

V. Phone/Fax

Practice location:
  • Phone: 813-661-6199
  • Fax: 813-661-6334
Mailing address:
  • Phone: 813-661-6199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HARSHINDER SINGH
Title or Position: OWNER
Credential: M.D.
Phone: 863-899-9576