| Broward Heart Group P A | |
|
9800 W Sample Rd Suite A Coral Springs FL 33065-4039 | |
| (954) 344-8700 | |
| (954) 755-8138 |
| Full Name | Broward Heart Group P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 9800 W Sample Rd, Coral Springs, Florida |
| Authorized Official Name and Position | Amy Bolton (OFFICE MANAGER) |
| Authorized Official Contact | 9543448700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Heart Group P A 9800 W Sample Rd Suite A Coral Springs FL 33065-4039 Ph: (954) 344-8700 | Broward Heart Group P A 9800 W Sample Rd Suite A Coral Springs FL 33065-4039 Ph: (954) 344-8700 |
| NPI Number | 1942232418 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942232418 | NPI | - | NPPES |
| 260971101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME003403 (Florida) | Primary |
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