CARDIOVASCULAR SOLUTIONS INSTITUTE OUTPATIENT SERVICES, LLC (NPI# 1487125035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487125035 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR SOLUTIONS INSTITUTE OUTPATIENT SERVICES, LLC |
| Practice Address |
714 Manatee Ave E Ste A Bradenton FL 34208-1235 |
| Practice Telephone | 9417478789 |
| Mailing Telephone | 9417478789 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | GINO J SEDILLO (OWNER) |
| Authorized Official Telephone | 9417478789 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PROVIDER NUMBER | FJ639A | 01 |
| Street Address |
714 MANATEE AVE E STE A |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346735719 | Jessica Levanti | Physician Assistant | 714 Manatee Ave E Ste A, Bradenton, FL 34208-1235 | 2018-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720144017 | William Robert Linton Jr. | Internal Medicine | 1803 71st St Nw, Bradenton, FL 34209-1134 | 2006-12-29 |
| 1306813423 | Patrick Weston | Internal Medicine | 300 Riverside Dr E Ste 2010, Bradenton, FL 34208-1023 | 2006-03-07 |
| 1982680179 | Gino J Sedillo | Internal Medicine | 714 Manatee Ave E, Suite A, Bradenton, FL 34208-1242 | 2005-12-20 |
| 1679559918 | Anthony T Pizzo | Internal Medicine | 316 Manatee Ave W, Bradenton, FL 34205-8805 | 2005-12-19 |
| 1831186279 | Enrique Rivera | Internal Medicine | 4351 Cortez Rd W Ste 200, Bradenton, FL 34210-3140 | 2005-09-30 |
| 1710974340 | Joseph M Branconi | Internal Medicine | 2101 61st St W, Bradenton, FL 34209-5528 | 2005-09-29 |
| 1124012455 | Lawrence Christopher Hasara | Internal Medicine | 2225 59th St W, Suite D, Bradenton, FL 34209-7017 | 2005-09-01 |
| 1639162159 | Sherif Z Mehanny | Internal Medicine | 6100 Pointe West Blvd, Bradenton, FL 34209-5533 | 2005-08-30 |
| 1508470824 | Mcr Health, Inc. | Internal Medicine | 6001 21st Ave W, Bradenton, FL 34209-7847 | 2020-09-03 |
| 1356972533 | Mcr Health, Inc. | Internal Medicine | 6001 21st Ave W, Bradenton, FL 34209-7847 | 2020-01-28 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.