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General NPI Number Information
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NPI Number | 1255125274
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Entity Type | Organization
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Legal Business Name | ELITE CARDIOLOGY CARE, LLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2961 PLACIDA RD STE 5
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City | ENGLEWOOD
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State | FL
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Zip | 34224-8525
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Country | US
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Telephone | 941-280-0499
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Fax | 941-340-0601
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Provider Business Mailing Address
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Address Line | 2961 PLACIDA RD STE 5
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City | ENGLEWOOD
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State | FL
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Zip | 34224-8525
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Country | US
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Telephone | 941-280-0499
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Fax | 941-340-0601
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Authorized Official
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Title or Position | MEDICAL DOCTOR/OWNER
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Name | DR. KENNETH WILLIAM PFAHLER
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Credential | MD
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Telephone | 941-468-6131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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