| NPI | 1194271338 | 
|---|---|
| Doing Business As | COLLEGE PARK HEART & VASCULAR SURGERY CENTER | 
| Entity Type | Organization | 
| Authorized Contact | KELLY MARIE BEMIS Authorized Official 858-504-5667  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical | 
| Enumeration Date | 2016-08-28 | 
| Last Update Date | 2023-11-09 |