Healthcare Provider Details

I. General information

NPI: 1730189788
Provider Name (Legal Business Name): ELECTROPHYSIOLOGY CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3370 BURNS RD SUITE #105
PALM BEACH GARDENS FL
33410-4327
US

IV. Provider business mailing address

3370 BURNS RD SUITE #105
PALM BEACH GARDENS FL
33410-4327
US

V. Phone/Fax

Practice location:
  • Phone: 561-630-8570
  • Fax: 561-630-8572
Mailing address:
  • Phone: 561-630-8570
  • Fax: 561-630-8572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SIMIE B. PLATT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-630-8570