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NPI Code Detail

MEDICARE: HEALTHY HEART MEDICAL PA

MEDICARE: HEALTHY HEART MEDICAL 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
1261QR0200XRadiology Clinic/CenterM4062TX

General Provider Information

NPI Number : 1801346036
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY HEART MEDICAL PA
Provider Business Mailing Address
First Line : 7000 W PALMETTO PARK RD
Second Line : SUITE 205
City : BOCA RATON
State : FL
Zip : 33433-3424
Country : US
Telephone Number : 855-200-8262
Fax Number :
Provider Business Practice Location Address
First Line : 6809 SAWGRASS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-7103
Country : US
Telephone Number : 855-200-8262
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JASON S FINKELSTEIN
Credential :
Telephone Number : 855-200-8262
Provider Enumeration Date : 10/12/2016
Last Update Date : 10/12/2016

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