HEART AND VASCULAR ASSOCIATES OF TAMPA LLC (NPI# 1154701365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154701365 |
| Entity Type | Organization |
| Organization Name | HEART AND VASCULAR ASSOCIATES OF TAMPA LLC |
| Practice Address |
17 Davis Blvd Suite 313 Tampa FL 33606-3475 |
| Mailing Address |
Po Box 4706 Tampa FL 33677-4706 |
| Practice Telephone | 8132800202 |
| Practice Fax Number | 8132800203 |
| Mailing Telephone | 8132800202 |
| Mailing Fax Number | 8132800203 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | DR. TALAL SHAWKI HAMDAN (MANAGING MEMBER) |
| Authorized Official Telephone | 8132800202 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015515800 | 05 | |
| FL | BLUE CROSS | 009WY | 01 |
| Street Address |
17 DAVIS BLVD SUITE 313 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972575 | Kelsey H O'brien | Pediatrics | 17 Davis Blvd, Tampa, FL 33606 | 2005-09-16 |
| 1902435597 | Jonathan Marks | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-04-06 |
| 1831727684 | Matthew Franklin Gliksman | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-03-28 |
| 1225666241 | Linzi Jiang | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-03-27 |
| 1073147468 | Kyle Peter Michelson | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2020-02-25 |
| 1447717764 | John Michael Graff | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2019-02-22 |
| 1679050983 | Maher Khalaf | Nurse Practitioner | 17 Davis Blvd, Tampa, FL 33606-3475 | 2018-07-20 |
| 1922596857 | Ala Saleh | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Suite 308, Tampa, FL 33606 | 2018-04-26 |
| 1679060032 | Aditya Grover | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Tampa, FL 33606-3475 | 2018-04-20 |
| 1184121345 | Arjun Khadilkar | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd, Suite 308, Tampa, FL 33606 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1619309499 | Adithya K Gandhi Md Plc | Internal Medicine | 18128 Longwater Run Dr, Tampa, FL 33647-2211 | 2013-08-05 |
| 1336418474 | Clinical&diagnostic Cardiology | Internal Medicine | 16057 Tampa Palms Blvd W, 244, Tampa, FL 33647-2001 | 2011-12-19 |
| 1508185612 | Andrea Fae Tordini | Internal Medicine | 2727 W Dr Martin Luther King Jr Blvd Ste 760, Tampa, FL 33607 | 2010-05-28 |
| 1487984167 | Robert Arthur Turkel | Internal Medicine | 328 Inner Harbour Cir, Tampa, FL 33602-5967 | 2010-01-03 |
| 1932398740 | Phong Q Ong | Internal Medicine | 5919 Webb Rd, Tampa, FL 33615-3219 | 2007-10-17 |
| 1407049919 | Westchase Cardiology Pa | Internal Medicine | 11373 Countryway Blvd, Tampa, FL 33626-2610 | 2007-08-20 |
| 1174741565 | Cesar Alberto Morales-pabon | Internal Medicine | 2919 W Swann Ave Ste 105b, Tampa, FL 33609-4049 | 2007-04-23 |
| 1487788220 | Kristine V Owen | Internal Medicine | 823 S Oregon Ave, Apt #4, Tampa, FL 33606-2852 | 2007-03-15 |
| 1962578591 | Alejandro Ignacio Michel | Internal Medicine | 13701 Bruce B Downs Blvd Ste 105, Tampa, FL 33613-4647 | 2006-11-27 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.