Healthcare Provider Details

I. General information

NPI: 1326958588
Provider Name (Legal Business Name): NEURO HEART CLINIC OF CAPE CORAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 DEL PRADO BLVD S
CAPE CORAL FL
33990-3670
US

IV. Provider business mailing address

1224 DEL PRADO BLVD S
CAPE CORAL FL
33990-3670
US

V. Phone/Fax

Practice location:
  • Phone: 716-948-6754
  • Fax:
Mailing address:
  • Phone: 716-948-6754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD MASUD
Title or Position: CEO
Credential:
Phone: 716-948-6754