Healthcare Provider Details

I. General information

NPI: 1891986246
Provider Name (Legal Business Name): MIAMI ARRHYTHMIA CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 01/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 SW 92ND ST 208
MIAMI FL
33156-7390
US

IV. Provider business mailing address

PO BOX 430820
SOUTH MIAMI FL
33243-0820
US

V. Phone/Fax

Practice location:
  • Phone: 305-661-0169
  • Fax: 888-811-4447
Mailing address:
  • Phone: 305-661-0169
  • Fax: 888-811-4447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number93281
License Number StateFL

VIII. Authorized Official

Name: ELIE RAJA HADDAD
Title or Position: PRESIDENT
Credential: MD
Phone: 305-661-0169