Organization
SOUTHERN CARDIAC INTERPRETATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOYD W. BURKE M.D. (PRESIDENT)
(352) 332-8991
Entity
Organization
Contact information
Practice address
350 NW 76TH DR, SUITE B, GAINESVILLE, FL 32607-6662
(352) 332-5755
(866) 887-9246
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD1479
RAILROAD MEDICARE
—
Enumeration date
11/19/2005
Last updated
01/10/2011
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