MEDICARE: HEARTWELL LLP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265698203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTWELL LLP

Provider Business Mailing Address
First Line	:	7990 SW 117TH AVE
Second Line	:	SUITE 202
City	:	MIAMI
State	:	FL
Zip	:	33183-3847
Country	:	US
Telephone Number	:	305-200-0399
Fax Number	:	786-347-8813

Provider Business Practice Location Address
First Line	:	7990 SW 117TH AVE
Second Line	:	SUITE 202
City	:	MIAMI
State	:	FL
Zip	:	33183-3847
Country	:	US
Telephone Number	:	305-200-0399
Fax Number	:	786-347-8813

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. JONATHAN FIALKOW
Credential	:	MD
Telephone Number	:	305-200-0399

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	03/24/2015

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Directions to “HEARTWELL LLP ” Practice Location

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