Healthcare Provider Details

I. General information

NPI: 1902841109
Provider Name (Legal Business Name): NORTH BROWARD EKG ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 EAST SAMPLE ROAD EKG READERS PANEL
DEERFIELD FL
33064-3502
US

IV. Provider business mailing address

PO BOX 198469
ATLANTA FL
30384-8469
US

V. Phone/Fax

Practice location:
  • Phone: 954-726-1808
  • Fax: 954-726-1820
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: JEFFREY S DENNIS
Title or Position: PRESIDENT
Credential: MD
Phone: 954-785-0300