Cosme-Montalvo, Octavio

Cosme-Montalvo, Octavio is an individual health care provider with primary practice located at 3010 E 138Th Ave Ste 12 , Tampa FL 33613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Cosme-Montalvo, Octavio can be contacted via phone (813) 975-2800.

Contact Information

Primary practice address
3010 E 138Th Ave Ste 12 Tampa FL 33613
Phone: (813) 975-2800
Fax: (813) 977-7631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME79294 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME79294 Florida

Profile Details

NPI number 1255324000
LBN Legal business name Cosme-Montalvo, Octavio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Dec 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255324000 NPPES
Florida MEDICAID 262967400
Florida Other 26001

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