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CARDIOLOGY CENTER OF ENGLEWOOD PA NPI 1437287158


NPI Information

NPI: 1437287158
Provider Name: CARDIOLOGY CENTER OF ENGLEWOOD PA

Other Name: CARDIOLOGY CENTER OF ENGLEWOOD

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D0988628

Address:
601 MEDICAL DR
ENGLEWOOD, FL
ZIP 34223
Phone: (941) 475-5621
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CARDIOLOGY CENTER OF ENGLEWOOD PA is a cardiovascular disease internal medicine in Englewood, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CARDIOLOGY CENTER OF ENGLEWOOD PA NPI is 1437287158. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cardiology Center Of Englewood.

The provider's business location address is:

601 MEDICAL DR
ENGLEWOOD, FL
ZIP 34223
Phone: (941) 475-5621
Fax: (941) 474-8587

The provider's authorized official is Kenneth William Pfahler .
The authorized official title is President and has the following contact phone number (941) 475-5621.

The CLIA number assigned to this NPI record is 10D0988628 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 11/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RC0000XInternal MedicineCardiovascular DiseaseME75359FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K2600MEDICARE UPINFLORIDA
2K2600MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP ID#
3021673900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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