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Contact Information

INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE, PA
4645 NW 8TH AVE
GAINESVILLE, FL32605
 Phone: 352-264-2500
 Fax: 352-331-9095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Hypertension Specialist

207RH0005X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE, PA

NPI # 1811931629
LBN Legal business name INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE, PA
Authorized official TIMOTHY WESSEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2006
Last updated 04/24/2025 - More than a year ago
Identifiers
FL Medicaid 117337900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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