Organization Name: | RIVERVIEW CARDIAC SURGERY, P.A. |
NPI Number: | 1922053115 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEGGY A INGRAM (OFFICE MANAGER) |
Mailing Address: | 5304 4th Avenue Cir E Bradenton |
State: | FL US |
Postal Code: | 342085624 |
Phone Number: | 9417442640 |
Fax Number: | 9417442650 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME58291 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |