Coastal Cardiololgy & Vascular Center
NPI #1033494547 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1033494547
- Entity Type
- Organization
- Organization Name
- Coastal Cardiololgy & Vascular Center
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 15, 2011
- Last Updated
- Oct 15, 2011
Practice Location
- Address
- 1620 TAMIAMI TRL
- Address 2
- SUITE 300
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33948-4015
- Phone
- (941) 625-6187
Authorized Official
- Name
- DR. BALA NANDIGAM, M.D.
- Title
- PRESIDENT
- Phone
- (941) 625-6187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Internal Medicine |
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