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NPI Code Detail

MEDICARE: SOUTH FLORIDA CARDIOLOGY ASSOCIATES LLC

MEDICARE: SOUTH FLORIDA CARDIOLOGY ASSOCIATES LLC
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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1104930379
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH FLORIDA CARDIOLOGY ASSOCIATES LLC
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1380 S HIATUS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-3551
Country : US
Telephone Number : 954-432-1511
Fax Number : 954-747-7878
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : ALICIA LEDO
Credential :
Telephone Number : 786-256-9657
Provider Enumeration Date : 08/18/2006
Last Update Date : 06/13/2024

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Directions to “SOUTH FLORIDA CARDIOLOGY ASSOCIATES LLC ” Practice Location

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