OrganizationActive
Advanced Cardiovascular Center of Tampa Bay P a
NPI 1821268962 · Legal Medicine · Tampa, FL
Provider details
- NPI number
- 1821268962
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Authorized official
- Rodney Randall, Owner
- License
- ME66099 (FL)
Practice location
2727 W Dr Martin Luther King Jr Blvd
Suite 418
Tampa, FL 33607-6383
Phone: (813) 875-9900
Fax: (813) 873-8880
Mailing address
2727 W Martin Luther King Blvd
Tampa, FL 33607-6383
Registry dates
- Enumerated
- 2008-03-05
- Last updated
- 2014-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.