Provider Demographics
NPI:1215261151
Name:CARDIOLOGY 1 PL
Entity type:Organization
Organization Name:CARDIOLOGY 1 PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:SALVIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-746-2299
Mailing Address - Street 1:203 3RD AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1013
Mailing Address - Country:US
Mailing Address - Phone:941-746-2299
Mailing Address - Fax:941-746-6688
Practice Address - Street 1:203 3RD AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1013
Practice Address - Country:US
Practice Address - Phone:941-746-2299
Practice Address - Fax:941-746-6688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92452207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME92452OtherMEDICAL LICENSE