Organization
CENTER FOR ADVANCE CARDIOVASCULAR MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOISE W ANGLADE M.D. (PRESIDENT/OWNER)
(561) 629-7267
Entity
Organization
Contact information
Practice address
4849 LAKE WORTH RD, SUITE 201, GREENACRES, FL 33463
(561) 629-7267
Mailing address
1615 S CONGRESS AVE STE 103, DELRAY BEACH, FL 33445-6326
(561) 245-9085
(561) 967-0167
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003693200
—
FL
Enumeration date
06/07/2011
Last updated
05/15/2018
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