MEDICARE: INDEPENDENT EKG CONSULTANT'S, 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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689626756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENT EKG CONSULTANT'S, INC.

Provider Business Mailing Address
First Line	:	5301 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1149
Country	:	US
Telephone Number	:	561-766-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1149
Country	:	US
Telephone Number	:	561-965-7300
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TERESA GRANT
Credential	:
Telephone Number	:	772-285-2455

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	02/27/2026

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