Healthcare Provider Details

I. General information

NPI: 1982804449
Provider Name (Legal Business Name): ADVANCED PACEMAKER SPECIALIST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 07/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 FLAMINGO CT
HOMESTEAD FL
33035-1025
US

IV. Provider business mailing address

PO BOX 901747
HOMESTEAD FL
33090-1747
US

V. Phone/Fax

Practice location:
  • Phone: 305-242-5620
  • Fax:
Mailing address:
  • Phone: 305-242-5620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS EILEEN CHEA HARAN
Title or Position: PRESIDENT
Credential: ARNP, FNP
Phone: 305-242-5620