MEDICARE: HEART CARE OF SOUTH FLORIDA PA

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	:	1881680502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART CARE OF SOUTH FLORIDA PA

Provider Business Mailing Address
First Line	:	2901 CORAL HILLS DR
Second Line	:	SUITE 240
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4146
Country	:	US
Telephone Number	:	954-227-7787
Fax Number	:	954-227-1787

Provider Business Practice Location Address
First Line	:	2901 CORAL HILLS DR
Second Line	:	SUITE 240
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4146
Country	:	US
Telephone Number	:	954-227-7787
Fax Number	:	954-227-1787

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALAN M. ROSENBAUM
Credential	:	M.D.
Telephone Number	:	954-227-7787

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	05/12/2011

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