Organization
EKG & ECHO READERS INC
Active
Other names
Westside EKG Associates PA
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN PELLER MD (PRESIDENT)
(954) 581-6041
Entity
Organization
Contact information
Practice address
8201 W BROWARD BLVD, - EKG READERS PANEL, PLANTATION, FL 33324-2701
(954) 726-1808
(954) 726-1820
Mailing address
PO BOX 918625, ORLANDO, FL 32891-8625
(954) 726-1808
(954) 726-1820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33033
BLUE CROSS BLUE SHIELD
—
05
—
375937700
—
FL
01
—
SG007260
VISTA
—
Enumeration date
05/22/2006
Last updated
06/19/2014
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