Organization
SOUTH COUNTY HEART GROUP INC
Active
Other names
South County Heart Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J CORIN M.D. (PRERSIDENT)
(941) 492-5666
Entity
Organization
Contact information
Practice address
1225 JACARANDA BLVD, VENICE, FL 34292-4521
(941) 492-5666
(941) 497-2331
Mailing address
1225 JACARANDA BLVD, VENICE, FL 34292-4521
(941) 492-5666
(941) 497-2331
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252635200
—
FL
05
—
257322900
—
FL
05
—
373654700
—
FL
01
—
C18929
BLUE CROSS
—
01
—
CE0372
RAILROAD MEDICARE
FL
Enumeration date
12/01/2006
Last updated
07/24/2008
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