An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Diagnostic Ultrasound |
2085U0001X | |||
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Interventional Cardiology |
207RI0011X | 11 | Physician/Internal Medicine | |
Nuclear Cardiology |
207UN0901X | 36 | Physician/Nuclear Medicine | |
Nuclear Radiology |
2085N0904X | |||
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI Number | 1902809858 |
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| LBN Legal business name | PENINSULA CARDIOLOGY ASSOCIATES, P.A. | ||||||||
| Authorized official | JOANNA ANDERSON - (BILLING MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/24/2005 | ||||||||
| Last updated | 07/21/2022 - About 4 years ago | ||||||||
| Identifiers |
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