MEDICARE: CARDIOLOGY ASSOCIATES OF AMI KENDALL 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
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1457362733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOLOGY ASSOCIATES OF AMI KENDALL INC

Provider Business Mailing Address
First Line	:	7100 HOLLYWOOD BLVD STE 19
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-7355
Country	:	US
Telephone Number	:	954-967-0107
Fax Number	:	954-967-0109

Provider Business Practice Location Address
First Line	:	11750 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3530
Country	:	US
Telephone Number	:	305-227-5566
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAIME ALTAMIRANO
Credential	:	MD
Telephone Number	:	305-227-1733

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	10/14/2022

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