Provider Demographics
NPI:1194016006
Name:TAMPA CARDIAC SPECIALISTS LLC
Entity Type:Organization
Organization Name:TAMPA CARDIAC SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-229-9292
Mailing Address - Street 1:PO BOX 18036
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33679-8036
Mailing Address - Country:US
Mailing Address - Phone:813-229-9292
Mailing Address - Fax:813-229-9293
Practice Address - Street 1:4211 VAN DYKE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-8002
Practice Address - Country:US
Practice Address - Phone:813-229-9292
Practice Address - Fax:813-229-9293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty