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NPI Code Detail

MEDICARE: KINDRED HOSPITAL EKG ASSOCIATES INC

MEDICARE: KINDRED HOSPITAL EKG ASSOCIATES INC
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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1336394733
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDRED HOSPITAL EKG ASSOCIATES INC
Provider Business Mailing Address
First Line : 8660 W FLAGLER ST
Second Line : SUITE 200
City : MIAMI
State : FL
Zip : 33144-2031
Country : US
Telephone Number : 305-227-5176
Fax Number : 305-397-1620
Provider Business Practice Location Address
First Line : 1859 VAN BUREN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5127
Country : US
Telephone Number : 954-926-3824
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : LORN LEITMAN
Credential :
Telephone Number : 305-227-5176
Provider Enumeration Date : 11/26/2008
Last Update Date : 11/26/2008

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