Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1255393203
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
49th Street North, Disston Heights, Saint Petersburg, Pinellas County, Florida, 33710, United States
SUITE 310
ST PETERSBURG, FL 337092148
Phone: (727) 490-5040
Fax: (727) 490-5045
Type: Mailing
Pinellas Street, Clearwater, Pinellas County, Florida, 33756, United States
SUITE 320
CLEARWATER, FL 337563354
Phone: (727) 446-2273
Fax: (727) 441-4966
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33709)
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