Healthcare Provider Details

I. General information

NPI: 1407156961
Provider Name (Legal Business Name): FLORIDA ELECTROPHYSIOLOGY ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2010
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 JFK DR SUITE 311
ATLANTIS FL
33462-6641
US

IV. Provider business mailing address

180 JFK DR SUITE 311
ATLANTIS FL
33462-6641
US

V. Phone/Fax

Practice location:
  • Phone: 561-434-0353
  • Fax: 561-357-0869
Mailing address:
  • Phone: 561-434-0353
  • Fax: 561-357-0869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT S FISHEL
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 561-434-0353