Provider profile · NPI 1609280403
13701 Bruce B Downs Boulevard
Internal Medicine, Cardiovascular Disease · Tampa, FL · NPI 1609280403 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jun 19, 2014
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 13701 BRUCE B DOWNS BLVD SUITE 101 | Tampa, FL 33613-4647 | 813-979-9580 |
| LOCATION | 13701 BRUCE B DOWNS BLVD SUITE 101 | Tampa, FL 33613-4647 | 813-979-9580 |
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