| Cardiovascular Institute Of Nw Florida Center Of Excellence, Llc | |
|
625 W Baldwin Rd Ste D Panama City FL 32405-3359 | |
| (210) 621-5621 | |
| Not Available |
| Full Name | Cardiovascular Institute Of Nw Florida Center Of Excellence, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 625 W Baldwin Rd Ste D, Panama City, Florida |
| Authorized Official Name and Position | Jared Leger (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3372746549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardiovascular Institute Of Nw Florida Center Of Excellence, Llc 13830 Sawyer Ranch Rd Ste 105 Dripping Springs TX 78620-5514 Ph: () - | Cardiovascular Institute Of Nw Florida Center Of Excellence, Llc 625 W Baldwin Rd Ste D Panama City FL 32405-3359 Ph: (210) 621-5621 |
| NPI Number | 1639898380 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 03/02/2023 |
| Medicare PECOS PAC ID | 7214302884 |
|---|---|
| Medicare Enrollment ID | O20230413000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639898380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael F Morrow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922027515 PECOS PAC ID: 1254221625 Enrollment ID: I20040318000891 |
| Provider Name | Amir R Haghighat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235197518 PECOS PAC ID: 1355236852 Enrollment ID: I20070102000351 |
| Provider Name | Patrick M Tamim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548392475 PECOS PAC ID: 4082715834 Enrollment ID: I20070723000713 |
| Provider Name | Samir Natwar Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457333742 PECOS PAC ID: 2961457684 Enrollment ID: I20101015001240 |
| Provider Name | Joey L Trantham |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497774087 PECOS PAC ID: 0749383172 Enrollment ID: I20101202000598 |
| Provider Name | Ajay U Mhatre |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235227133 PECOS PAC ID: 4284880196 Enrollment ID: I20130813000448 |
| Provider Name | Nghia T Hoang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740235498 PECOS PAC ID: 4789697236 Enrollment ID: I20181227001356 |
| Provider Name | Timothy Mcshurley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295984748 PECOS PAC ID: 4789857343 Enrollment ID: I20200810002293 |
| Provider Name | Saeed U Khaja |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1316289606 PECOS PAC ID: 4981908761 Enrollment ID: I20210511002640 |
| Provider Name | Ross Richard Melvin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871856492 PECOS PAC ID: 5294979316 Enrollment ID: I20230413002574 |
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