Healthcare Provider Details

I. General information

NPI: 1386678217
Provider Name (Legal Business Name): CARDIOLOGY ASSOCIATES OF STUART P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 SE OCEAN BLVD
STUART FL
34996-2576
US

IV. Provider business mailing address

1027 SE OCEAN BLVD
STUART FL
34996-2576
US

V. Phone/Fax

Practice location:
  • Phone: 772-781-0222
  • Fax: 772-781-0008
Mailing address:
  • Phone: 772-781-0222
  • Fax: 772-781-0008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: HOWARD SCOTT HELFMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 772-781-0222