Healthcare Provider Details

I. General information

NPI: 1538355987
Provider Name (Legal Business Name): BOCA RATON EKG READERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MEADOWS RD
BOCA RATON FL
33486-2304
US

IV. Provider business mailing address

8660 W FLAGLER ST STE 200
MIAMI FL
33144-2033
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-3073
  • Fax:
Mailing address:
  • Phone: 305-227-3884
  • Fax: 305-554-4833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: FREDERIC ALTMAN
Title or Position: PRESIDENT
Credential:
Phone: 561-495-4186