Organization
FMC CARDIOLOGY PANEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO A URBANDT MD (PRESIDENT)
(954) 587-4112
Entity
Organization
Contact information
Practice address
5000 W OAKLAND PARK BLVD, EKG & ECHO READERS PANEL, LAUDERDALE LAKES, FL 33313-1503
(954) 726-1808
(957) 726-1820
Mailing address
PO BOX 918566, ORLANDO, FL 32891-8566
(954) 726-1808
(954) 726-1820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45986
BLUE CROSS/BLUE SHIELD
—
Enumeration date
05/23/2006
Last updated
09/27/2021
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