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
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