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Organization

INTRACOASTAL CARDIOTHORACIC SURGERY, LLC

Active
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Organization

INTRACOASTAL CARDIOTHORACIC SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM H HEITMAN MD (MANAGING MEMBER)
(561) 694-6911
Entity
Organization

Contact information

Practice address
3370 BURNS RD, SUITE 102, PALM BEACH GARDENS, FL 33410-4327
(561) 694-6911
(561) 625-3239
Mailing address
3370 BURNS RD, SUITE 102, PALM BEACH GARDENS, FL 33410-4327
(561) 694-6911
(561) 625-3239

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—

Other

Enumeration date
08/03/2006
Last updated
08/22/2020
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