| Cardiac Cath Lab Of East Fort Lauderdale, Llc | |
|
1925 Ne 45th St Fort Lauderdale FL 33308 | |
| (713) 812-7586 | |
| Not Available |
| Full Name | Cardiac Cath Lab Of East Fort Lauderdale, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1925 Ne 45th St, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Kelly Marie Bemis (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6106448900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardiac Cath Lab Of East Fort Lauderdale, Llc Dept #3032, Po Box 4417 Houston TX 77210-4477 Ph: (106) 448-9006 | Cardiac Cath Lab Of East Fort Lauderdale, Llc 1925 Ne 45th St Fort Lauderdale FL 33308 Ph: (713) 812-7586 |
| NPI Number | 1740771799 |
|---|---|
| Provider Enumeration Date | 05/25/2018 |
| Last Update Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740771799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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