Healthcare Provider Details

I. General information

NPI: 1932129392
Provider Name (Legal Business Name): CARDIOLOGY ASSOCIATES OF FORT LAUDERDALE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4725 N FEDERAL HWY. SUITE 401
FORT LAUDERDALE FL
33308
US

IV. Provider business mailing address

4725 N FEDERAL HWY SUITE 401
FORT LAUDERDALE FL
33023
US

V. Phone/Fax

Practice location:
  • Phone: 954-772-2136
  • Fax: 954-772-7156
Mailing address:
  • Phone: 954-772-2136
  • Fax: 954-772-7156

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: DR. KARAN MUNUSWAMY
Title or Position: PRESIDENT
Credential: MD
Phone: 954-772-2136