Organization
BROWARD HEART GROUP P A
Active
Organization
BROWARD HEART GROUP P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BOLTON (OFFICE MANAGER)
(954) 344-8700
Entity
Organization
Contact information
Practice address
7421 N UNIVERSITY DR, SUITE 101, TAMARAC, FL 33321-2977
(954) 721-6666
(954) 726-7862
Mailing address
9800 W SAMPLE RD, SUITE C, CORAL SPRINGS, FL 33065
(954) 344-8598
(954) 344-8142
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260971102
—
FL
01
—
45590B
BCBS OF FL GROUP
FL
Enumeration date
07/07/2006
Last updated
09/16/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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