Healthcare Provider Details

I. General information

NPI: 1104026467
Provider Name (Legal Business Name): FLORIDA CARDIOLOGY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3543 LITTLE RD STE A
TRINITY FL
34655-1814
US

IV. Provider business mailing address

2410 NORTHSIDE DR
CLEARWATER FL
33761-2236
US

V. Phone/Fax

Practice location:
  • Phone: 727-848-6400
  • Fax: 727-848-6200
Mailing address:
  • Phone: 727-848-6400
  • Fax: 727-848-6200

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: SUDHIR AGARWAL
Title or Position: OWNER / PROVIDER
Credential: MD
Phone: 727-848-6400