Provider Demographics
NPI:1659015956
Name:SUNCOAST HEART INSTITUTE PLLC
Entity Type:Organization
Organization Name:SUNCOAST HEART INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOBRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-313-3393
Mailing Address - Street 1:8800 S TAMIAMI TRL STE B
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3142
Mailing Address - Country:US
Mailing Address - Phone:941-313-3393
Mailing Address - Fax:
Practice Address - Street 1:8800 S TAMIAMI TRL STE B
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-3142
Practice Address - Country:US
Practice Address - Phone:941-313-3393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty