Whalio Doctors

NPI 1003192915

Golden Sun Bear, LLC

Organisation Vascular Surgery Physician Temple Terrace, FL

Practice location

Address
13083 N Telecom Pkwy, Temple Terrace, FL 33637-0926
Phone
(813) 971-3064
Fax
(813) 977-3607
Mailing address
3 Hawthorn Pkwy Suite 410, Vernon Hills, IL 60061-1446

Authorised official

Name
James Hilger
Title
Chief Accounting Officer
Phone
(253) 280-9501

Registered specialties (3)

Vascular Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X
Nephrology Physician
Allopathic & Osteopathic Physicians Taxonomy 207RN0300X
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Registry record

NPI
1003192915
Entity type
Organization
NPI issued
25 Oct 2011
Record last updated
5 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.