MEDICARE: NORTH RIDGE HEART ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1134433949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH RIDGE HEART ASSOCIATES PA

Provider Business Mailing Address
First Line	:	9325 GLADES RD STE 105
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-3988
Country	:	US
Telephone Number	:	561-488-5535
Fax Number	:	561-516-8768

Provider Business Practice Location Address
First Line	:	9325 GLADES RD STE 105
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-3988
Country	:	US
Telephone Number	:	561-488-5535
Fax Number	:	561-516-8768

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DOMINIK CHRZAN
Credential	:	MD
Telephone Number	:	561-430-3599

Provider Enumeration Date	:	08/04/2010
Last Update Date	:	01/20/2026

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