Healthcare Provider Details
I. General information
NPI: 1396707204
Provider Name (Legal Business Name): CARING CARDIOLOGY P A
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2006
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4302 ALTON RD SUITE 530
MIAMI BEACH FL
33140-2891
US
IV. Provider business mailing address
4302 ALTON RD SUITE 530
MIAMI BEACH FL
33140-2891
US
V. Phone/Fax
- Phone: 305-531-6886
- Fax: 305-531-9992
- Phone: 305-531-6886
- Fax: 305-531-9992
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | ME 63434 |
| License Number State | FL |
VIII. Authorized Official
Name:
ROY
HEILBRON
JR.
Title or Position: OWNER
Credential: M.D.
Phone: 305-531-6886