Organization
SOUTH FLORIDA CARDIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LEDO (DIRECTOR OF OPERATIONS)
(786) 256-9657
Entity
Organization
Contact information
Practice address
1700 79TH STREET CSWY STE 120, NORTH BAY VILLAGE, FL 33141-4197
(305) 726-2177
(305) 726-2209
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77166
MEDICARE
FL
Enumeration date
05/08/2018
Last updated
06/13/2024
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