Healthcare Provider Details

I. General information

NPI: 1841340965
Provider Name (Legal Business Name): SOUTH FLORIDA INTERVENTIONAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 11/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 W BROWARD BLVD
PLANTATION FL
33324-2701
US

IV. Provider business mailing address

1130 TEN ROD RD D201
NORTH KINGSTOWN RI
02852-4161
US

V. Phone/Fax

Practice location:
  • Phone: 954-473-6600
  • Fax:
Mailing address:
  • Phone: 877-591-7250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberOS5762
License Number StateFL

VIII. Authorized Official

Name: DR. TODD D SCHWARTZ
Title or Position: PRESIDENT
Credential: DO
Phone: 877-591-7250