# CARDIOVASCULAR CLINIC OF EAST FORT LAUDERDALE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114606480
- **Authorized official:** KELLY BEMIS (CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (610) 644-8900

## Contact information

- **Practice address:** 1925 NE 45TH ST, FORT LAUDERDALE, FL 33308-5121
- **Practice address phone:** (954) 651-9847
- **Mailing address:** 40 VALLEY STREAM PKWY STE 100, MALVERN, PA 19355-1407
- **Mailing address phone:** (610) 644-8900
- **Mailing address fax:** (484) 924-0053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2023
- **Last updated:** 07/14/2023