Healthcare Provider Details

I. General information

NPI: 1134366727
Provider Name (Legal Business Name): MOUNT SINAI MEDICAL CENTER CARDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2009
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD DEHIRSH MEYER TOWER SUITE 2070
MIAMI BEACH FL
33140-2800
US

IV. Provider business mailing address

4306 ALTON RD
MIAMI BEACH FL
33140-2840
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2690
  • Fax: 305-674-2693
Mailing address:
  • Phone: 305-535-3349
  • Fax: 305-535-3438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN D SONENREICH
Title or Position: PRESIDENT CHIEF EXECUTIVE OFFICER
Credential:
Phone: 305-535-3349