Provider Demographics
NPI:1578260014
Name:TAMPA HEART & VASCULAR ASSOCIATES LLC
Entity Type:Organization
Organization Name:TAMPA HEART & VASCULAR ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KONSTANTINOS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARMAGKIOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-350-3413
Mailing Address - Street 1:2727 W DR MARTIN LUTHER KING JR BLVD STE 800
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6065
Mailing Address - Country:US
Mailing Address - Phone:586-350-3413
Mailing Address - Fax:
Practice Address - Street 1:2727 W DR MARTIN LUTHER KING JR BLVD STE 800
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6065
Practice Address - Country:US
Practice Address - Phone:586-350-3413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty