| Our Heart And Vascular Center Llc | |
|
13740 Office Park Ct Hudson FL 34667-7145 | |
| (727) 869-5100 | |
| (727) 869-5166 |
| Full Name | Our Heart And Vascular Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13740 Office Park Ct, Hudson, Florida |
| Authorized Official Name and Position | Gopal Kishore Chalavarya (PRESIDENT) |
| Authorized Official Contact | 7278695100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Heart And Vascular Center Llc 13740 Office Park Ct Hudson FL 34667-7145 Ph: (727) 869-5100 | Our Heart And Vascular Center Llc 13740 Office Park Ct Hudson FL 34667-7145 Ph: (727) 869-5100 |
| NPI Number | 1184892739 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 02/18/2008 |
| Medicare PECOS PAC ID | 4981977113 |
|---|---|
| Medicare Enrollment ID | O20170908002395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184892739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gopal Chalavarya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922093921 PECOS PAC ID: 5193871200 Enrollment ID: I20100901000970 |
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