Healthcare Provider Details

I. General information

NPI: 1588811533
Provider Name (Legal Business Name): ECG CONSULTANTS OF BETHESDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 07/24/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 S SEACREST BLVD
BOYNTON BEACH FL
33435-6789
US

IV. Provider business mailing address

PO BOX 919331
ORLANDO FL
32891-9331
US

V. Phone/Fax

Practice location:
  • Phone: 561-369-7865
  • Fax: 561-369-7169
Mailing address:
  • Phone: 954-726-1808
  • Fax: 954-726-1820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SAMEER VERMA
Title or Position: MGRM
Credential: MD
Phone: 561-369-7865