Organization
CARDIAC CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY THAKUR MD (PHYSICIAN)
(407) 334-4448
Entity
Organization
Contact information
Practice address
201 N PARK AVE, SUITE 300, APOPKA, FL 32703-4147
(407) 334-4448
(407) 889-1903
Mailing address
201 N PARK AVE, SUITE 300, APOPKA, FL 32703-4147
(407) 334-4448
(407) 889-1903
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME85102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770571846
INDIVIDUAL PROVIDER NPI #
FL
05
—
264285900
—
FL
01
—
E8550
INDIVIDUAL MC PROVIDER #
FL
Enumeration date
01/05/2008
Last updated
05/02/2008
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