Healthcare Provider Details

I. General information

NPI: 1245985530
Provider Name (Legal Business Name): MIAMI CENTER FOR ADVANCED CARDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2022
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 NW 57TH AVE STE 100
MIAMI FL
33126-2041
US

IV. Provider business mailing address

2845 AVENTURA BLVD STE 100
AVENTURA FL
33180-3111
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-6006
  • Fax:
Mailing address:
  • Phone: 305-978-0834
  • Fax: 305-675-2788

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: RALPH G NADER
Title or Position: MANAGER
Credential: MD
Phone: 305-978-0834