Healthcare Provider Details

I. General information

NPI: 1992629026
Provider Name (Legal Business Name): AHVC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST JOSEPHS HOSPITAL, 3001 W DR MLK JR BLVD DEPT OF INTERVENTIONAL CARDIOLOGY
TAMPA FL
33607-6307
US

IV. Provider business mailing address

301 N STERLING AVE
TAMPA FL
33609-1341
US

V. Phone/Fax

Practice location:
  • Phone: 517-256-6377
  • Fax:
Mailing address:
  • Phone: 517-256-6377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: OLIVER ABELA
Title or Position: INTERVENTIONAL CARDIOLOGIST
Credential: MD
Phone: 517-256-6377