Provider Demographics
NPI:1083774665
Name:VASCO M MARQUES MD PA
Entity Type:Organization
Organization Name:VASCO M MARQUES MD PA
Other - Org Name:TAMPA CARDIOVASCULAR ASSOCIATES, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VASCO
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARQUES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-975-2800
Mailing Address - Street 1:3010 E 138TH AVE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3904
Mailing Address - Country:US
Mailing Address - Phone:813-975-2800
Mailing Address - Fax:813-977-7631
Practice Address - Street 1:3010 E 138TH AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3904
Practice Address - Country:US
Practice Address - Phone:813-975-2800
Practice Address - Fax:813-977-7631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL258957500Medicaid
FLH14048Medicare UPIN
FL49997YMedicare PIN
FLAD378Medicare PIN