MEDICARE: USARRHYTHMIA OF FLORIDA 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	207RC0001X	Clinical Cardiac Electrophysiology Physician		FL

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	:	1740287804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USARRHYTHMIA OF FLORIDA INC

Provider Business Mailing Address
First Line	:	PO BOX 550963
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33655-0963
Country	:	US
Telephone Number	:	954-772-1080
Fax Number	:	954-772-7306

Provider Business Practice Location Address
First Line	:	4725 N FEDERAL HWY
Second Line	:	JIM MORAN HEART CENTER, SUITE 502
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4603
Country	:	US
Telephone Number	:	954-772-1080
Fax Number	:	954-772-7306

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	DEBBIE A STALLINGS
Credential	:	MS, MBA
Telephone Number	:	954-772-1080

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/21/2022

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