Organization
GARDENS EKG ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE C HINES (ADMINISTRATOR)
(561) 747-5735
Entity
Organization
Contact information
Practice address
4700 N CONGRESS AVE, SUITE 202, WEST PALM BEACH, FL 33407-3282
(561) 747-5735
(561) 743-3359
Mailing address
PO BOX 8063, JUPITER, FL 33468-8063
(561) 747-5735
(561) 743-3359
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0527271-00
—
FL
01
—
82197Y
DR RAVITSKY BCBS PR #
FL
01
—
82670X
DR HANNEY BCBS PR #
FL
Enumeration date
03/16/2007
Last updated
05/22/2008
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