Organization
SOUTH COUNTY HEART GROUP INC
Active
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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