Organization
CARDIOLOGY PARTNERS PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRA VENUGOPAL MD (PRESIDENT)
(561) 793-6100
Entity
Organization
Contact information
Practice address
3347 STATE ROAD 7, STE 203, WELLINGTON, FL 33449-8095
(561) 793-6100
(561) 793-1974
Mailing address
3345 BURNS RD STE 105, PALM BEACH GARDENS, FL 33410-4304
(561) 626-1881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260991600
—
FL
01
—
CJ2613
MEDICARE RAILROAD
FL
Enumeration date
08/11/2006
Last updated
01/12/2024
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