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NPI Code Detail

MEDICARE: CLINICAL & PREVENTIVE CARDIOLOGY INC

MEDICARE: CLINICAL & PREVENTIVE CARDIOLOGY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME20581TX

General Provider Information

NPI Number : 1083759401
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICAL & PREVENTIVE CARDIOLOGY INC
Provider Business Mailing Address
First Line : 1435 SE 8TH TER
Second Line : SUITE C
City : CAPE CORAL
State : FL
Zip : 33990-3289
Country : US
Telephone Number : 239-772-7350
Fax Number : 239-772-8570
Provider Business Practice Location Address
First Line : 1435 SE 8TH TER
Second Line : SUITE C
City : CAPE CORAL
State : FL
Zip : 33990-3289
Country : US
Telephone Number : 239-772-7350
Fax Number : 239-772-8570
Authorized Official
Title or Position : OWNER
Name : DR. HORACE PUTNAM DANSBY
Credential : MD
Telephone Number : 239-772-7350
Provider Enumeration Date : 02/21/2007
Last Update Date : 08/22/2020

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Directions to “CLINICAL & PREVENTIVE CARDIOLOGY INC ” Practice Location

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