Provider Demographics
NPI:1669127718
Name:AKEL CARDIOVASCULAR INSTITUTE LLC
Entity type:Organization
Organization Name:AKEL CARDIOVASCULAR INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLEZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-471-5882
Mailing Address - Street 1:19002 DEER POINT PL
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-2275
Mailing Address - Country:US
Mailing Address - Phone:727-992-1484
Mailing Address - Fax:
Practice Address - Street 1:13908 LAKESHORE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-1492
Practice Address - Country:US
Practice Address - Phone:727-471-5882
Practice Address - Fax:727-471-5894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty