Dr THEODORE A BASS is a male medical professional, specializing in Interventional Cardiology. He graduated in 1976 from Brown University Program In Medicine.
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
655 W 8TH ST
JACKSONVILLE
FL
322096511
Tel: 9042441680
| Npi | 1902872740 |
| Pac Id | 7810909538 |
| Professional Enrollment Id | I20100915000505 |
| Last Name | BASS |
| First Name | THEODORE |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialty 1 | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Organization Legal Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Group Practice Pac Id | 9133025869 |
| Number Of Group Practice Members | 572 |
| Line 1 Street Address | 655 W 8TH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 322096511 |
| Phone Number | 9042441680 |
| Hospital Affiliation Ccn 1 | 100001 |
| Hospital Affiliation Lbn 1 | SHANDS JACKSONVILLE |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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