MEDICARE: HOPKINS CARDIOVASCULAR ASSOCIATES LLC

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	96050	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790291912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPKINS CARDIOVASCULAR ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	2401 UNIVERSITY PKWY STE 204A
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2973
Country	:	US
Telephone Number	:	941-355-5336
Fax Number	:	941-761-6000

Provider Business Practice Location Address
First Line	:	2401 UNIVERSITY PKWY STE 204A
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2973
Country	:	US
Telephone Number	:	941-355-5336
Fax Number	:	941-761-6000

Authorized Official
Title or Position	:	PRESIDENT/FOUNDER
Name	:	JORDAN ERIC HOPKINS
Credential	:	MD
Telephone Number	:	941-355-5336

Provider Enumeration Date	:	12/26/2017
Last Update Date	:	05/13/2021

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Directions to “HOPKINS CARDIOVASCULAR ASSOCIATES LLC ” Practice Location

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