MEDICARE: HOA NGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	11044907	FL

General Provider Information

NPI Number	:	1154255040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOA NGO

Provider Business Mailing Address
First Line	:	3101 W DR MARTIN LUTHER KING JR BLVD STE 400
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6200
Country	:	US
Telephone Number	:	813-875-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 W DR MARTIN LUTHER KING JR BLVD STE 400
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6200
Country	:	US
Telephone Number	:	813-875-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ HOA NGO ” Practice Location

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