Healthcare Provider Details

I. General information

NPI: 1992615587
Provider Name (Legal Business Name): GOLDEN HEART CARDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 VISCAYA PKWY
CAPE CORAL FL
33990-3294
US

IV. Provider business mailing address

1425 VISCAYA PKWY
CAPE CORAL FL
33990-3294
US

V. Phone/Fax

Practice location:
  • Phone: 239-209-7570
  • Fax:
Mailing address:
  • Phone: 239-209-7570
  • Fax:

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: WILLIAM RICHARDSON
Title or Position: CO-OWNER
Credential:
Phone: 239-209-7570