NPI 1134804420
Heartland Vascular Care PLLC
Practice location
- Address
- 2420 W Nebraska Ave, Peoria, IL 61604-3112
- Phone
- (309) 680-5000
- Mailing address
- 3001 Palm Harbor Blvd STE a, Palm Harbor, FL 34683-1930
Authorised official
- Name
- Kevin Gardner
- Title
- Chief Operations Officer
- Phone
- (309) 680-5000
Registered specialties
Vascular & Interventional Radiology Physician
Primary
Registry record
- NPI
- 1134804420
- Entity type
- Organization
- NPI issued
- 15 Jun 2023
- Record last updated
- 15 Jun 2023
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.