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Organization
JOSE ERNESTO BETANCOURT DIAZ MD PA
Active
Organization
JOSE ERNESTO BETANCOURT DIAZ MD PA
Active
Other names
Cardiology Electrophysiology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ERNESTO BETANCOURT MD (PRESIDENT)
(786) 363-8587
Entity
Organization
Contact information
Practice address
601 N FLAMINGO RD STE 306, PEMBROKE PINES, FL 33028-1010
(786) 363-8587
(786) 363-8587
Mailing address
601 N FLAMINGO RD STE 306, PEMBROKE PINES, FL 33028-1010
(786) 363-8587
(786) 363-8587
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
05/01/2022
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