NPI Code Details Logo

NPI 1790887834

NPI 1790887834 : ASCENT CARDIOVASCULAR CENTER LLC : TAMPA, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1790887834
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ASCENT CARDIOVASCULAR CENTER LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/01/2006
-----------------------------------------------------
    Last Update Date     |    12/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    602 S AUDUBON AVE STE A 
-----------------------------------------------------
    City                 |    TAMPA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33609-4217
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    813-540-4322
-----------------------------------------------------
    Fax                  |    813-540-7262
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    602 S AUDUBON AVE STE A 
-----------------------------------------------------
    City                 |    TAMPA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33609-4217
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    813-540-4322
-----------------------------------------------------
    Fax                  |    813-540-7262
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO/PRESIDENT
-----------------------------------------------------
    Name                 |    DR. SACHIN VIJAY DIWADKAR 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    813-245-3290
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RI0011X
-----------------------------------------------------
    Taxonomy Name        |    Interventional Cardiology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.