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General NPI Number Information
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NPI Number | 1356615058
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CLINIC, INC.
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 17863 HUNTING BOW CIR STE 101
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City | LUTZ
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State | FL
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Zip | 33558-5395
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Country | US
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Telephone | 727-376-6699
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Fax | 727-372-5522
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Provider Business Mailing Address
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Address Line | PO BOX 24477
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City | TAMPA
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State | FL
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Zip | 33623-4477
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Country | US
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Telephone | 727-823-2188
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Fax | 727-828-0723
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Authorized Official
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Title or Position | PRES/OWNER
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Name | DR. BHASKER J PATEL
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Credential | M.D.
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Telephone | 727-844-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME55621
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License Number State | FL
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