MEDICARE: SINUS NODE SOLUTIONS

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	:	1902516461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINUS NODE SOLUTIONS

Provider Business Mailing Address
First Line	:	2609 S FEDERAL HWY # 1049
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-5923
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8515 S US HIGHWAY 1 STE 3
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-3346
Country	:	US
Telephone Number	:	347-640-3254
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FAHAD ALI
Credential	:	MD
Telephone Number	:	570-867-3025

Provider Enumeration Date	:	11/24/2022
Last Update Date	:	12/07/2022

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Directions to “SINUS NODE SOLUTIONS ” Practice Location

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