Healthcare Provider Details
I. General information
NPI: 1740287804
Provider Name (Legal Business Name): USARRHYTHMIA OF FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4725 N FEDERAL HWY JIM MORAN HEART CENTER, SUITE 502
FORT LAUDERDALE FL
33308-4603
US
IV. Provider business mailing address
PO BOX 550963
TAMPA FL
33655-0963
US
V. Phone/Fax
- Phone: 954-772-1080
- Fax: 954-772-7306
- Phone: 954-772-1080
- Fax: 954-772-7306
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0001X |
| Taxonomy | Clinical Cardiac Electrophysiology Physician |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name:
DEBBIE
A
STALLINGS
Title or Position: PRACTICE ADMINISTRATOR
Credential: MS, MBA
Phone: 954-772-1080