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NPI Code Detail

MEDICARE: COMPREHENSIVE CARDIOVASCULAR CARE PA

MEDICARE: COMPREHENSIVE CARDIOVASCULAR CARE 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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1356664932
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE CARDIOVASCULAR CARE PA
Provider Business Mailing Address
First Line : 3011 NE 40TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-5829
Country : US
Telephone Number : 954-547-2925
Fax Number :
Provider Business Practice Location Address
First Line : 3011 NE 40TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-5829
Country : US
Telephone Number : 954-547-2925
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOEL GELLMAN
Credential : M.D.
Telephone Number : 954-547-2925
Provider Enumeration Date : 03/10/2010
Last Update Date : 03/29/2021

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Directions to “COMPREHENSIVE CARDIOVASCULAR CARE PA ” Practice Location

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