Mpm Cardiology Services Llc

LBN: Mpm Cardiology Services Llc
Mpm Cardiology Services Llc is an health care organization with primary practice located at 300 Park Place Blvd Suite 170, Clearwater FL 33759-4932. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Mpm Cardiology Services Llc can be contacted via phone (727) 532-0002, or through Waters, Glenn D. via phone (727) 532-1355.

Contact Information

Primary practice address
300 Park Place Blvd Suite 170 Clearwater FL 33759-4932
Phone: (727) 532-0002
Fax: (727) 266-4928
Website:
Map and Directions
Authorized official contact:
Name: Waters, Glenn D.
Phone: (727) 532-1355

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1114295698
LBN Legal business name Mpm Cardiology Services Llc
DBA Doing business as
Authorized official Waters, Glenn D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2011
Last updated Jun 16th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114295698 NPPES
Florida MEDICAID 008209100

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