Organization
ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE
Active
Other names
ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE
Organization subpart
No
Provider details
NPI number
Authorized official
IMRAN ANSAARIE M.D (OWNER)
(386) 232-9203
Entity
Organization
Contact information
Practice address
215 HWY 17S, EAST PALATKA, FL 32131-4087
(386) 232-9203
(386) 222-3064
Mailing address
209 PINEHURST POINTE DR, ST AUGUSTINE, FL 32092-3703
(386) 232-9203
(386) 222-3064
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME121178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012828200
—
FL
Enumeration date
10/24/2016
Last updated
06/25/2021
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