FLORIDA HEART CENTER PA NPI 1760440440

NPI Information

FLORIDA HEART CENTER, PA is a cardiovascular disease internal medicine in Fort Pierce, 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. FLORIDA HEART CENTER, PA NPI is 1760440440. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Florida Heart Center.

The provider's business location address is:

1900 NEBRASKA AVE
SUITE 9
FORT PIERCE, FL
ZIP 34950-837
Phone: (772) 465-4757
Fax: (772) 466-0832

The provider's authorized official is Prasad Chalasani .
The authorized official title is Physician/owner and has the following contact phone number (772) 465-4499.

The CLIA number assigned to this NPI record is 10D1013948 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 3/16/2010.

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:

Other Identifiers

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

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