Provider Demographics
NPI:1083628366
Name:CEDARS HEART INSTITUTE INC
Entity Type:Organization
Organization Name:CEDARS HEART INSTITUTE INC
Other - Org Name:AHMAD M HAMZAH MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAMZAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-910-8359
Mailing Address - Street 1:PO BOX 48793
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647
Mailing Address - Country:US
Mailing Address - Phone:813-282-0941
Mailing Address - Fax:813-281-0161
Practice Address - Street 1:303 E ROBERTSON
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511
Practice Address - Country:US
Practice Address - Phone:813-282-0941
Practice Address - Fax:813-281-0161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME42726208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherHUMANA
FL=========OtherHUMANA