MEDICARE: FLORIDA CARDIAC CONSULTANTS 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
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	:	1487630299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CARDIAC CONSULTANTS INC

Provider Business Mailing Address
First Line	:	PO BOX 25337
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34277-2337
Country	:	US
Telephone Number	:	941-917-0060
Fax Number	:	941-957-4248

Provider Business Practice Location Address
First Line	:	1540 S TAMIAMI TRL
Second Line	:	SUITE 401
City	:	SARASOTA
State	:	FL
Zip	:	34239-2921
Country	:	US
Telephone Number	:	941-917-0060
Fax Number	:	941-957-4248

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES J FOX
Credential	:	MD
Telephone Number	:	941-917-0060

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	06/13/2016

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Directions to “FLORIDA CARDIAC CONSULTANTS INC ” Practice Location

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