MEDICARE: CARDIOVASCULAR SERVICES LLC

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	ME59443	FL
2	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669785705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOVASCULAR SERVICES LLC

Provider Business Mailing Address
First Line	:	212 S PINE AVE
Second Line	:
City	:	INVERNESS
State	:	FL
Zip	:	34452-4838
Country	:	US
Telephone Number	:	352-419-6537
Fax Number	:	352-419-6541

Provider Business Practice Location Address
First Line	:	212 S PINE AVE
Second Line	:
City	:	INVERNESS
State	:	FL
Zip	:	34452-4838
Country	:	US
Telephone Number	:	352-419-6537
Fax Number	:	352-419-6541

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	RAFIK ABADIER
Credential	:	MD
Telephone Number	:	352-419-6537

Provider Enumeration Date	:	07/19/2010
Last Update Date	:	05/24/2012

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Directions to “CARDIOVASCULAR SERVICES LLC ” Practice Location

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