Organization
BROWARD INSTITUTE OF CARDIOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE L BASTO (V-P)
(954) 816-3007
Entity
Organization
Contact information
Practice address
201 NW 70TH AVE, SUITE D, PLANTATION, FL 33317-2369
(954) 641-1440
(954) 641-1451
Mailing address
201 NW 70TH AVE, SUITE D, PLANTATION, FL 33317-2369
(954) 641-1440
(954) 641-1451
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
03/15/2011
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