Healthcare Provider Details

I. General information

NPI: 1992641443
Provider Name (Legal Business Name): ADVANCED HEART RHYTHM CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 59TH ST W STE 2400
BRADENTON FL
34209-4648
US

IV. Provider business mailing address

2010 59TH ST W STE 2400
BRADENTON FL
34209-4648
US

V. Phone/Fax

Practice location:
  • Phone: 813-733-0615
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: RAJESH MALIK
Title or Position: PRESIDENT
Credential: MD
Phone: 813-733-0615