Organization
FLORIDA HEART CENTER, PA
Active
Other names
Florida Heart Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRASAD CHALASANI MD (PHYSICIAN/OWNER)
(772) 465-4499
Entity
Organization
Contact information
Practice address
1900 NEBRASKA AVE, SUITE 9, FORT PIERCE, FL 34950-4837
(772) 465-4757
(772) 466-0832
Mailing address
1900 NEBRASKA AVE, SUITE 9, FORT PIERCE, FL 34950-4837
(772) 465-4499
(772) 465-5941
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0072976
FL
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253894600
—
FL
Enumeration date
05/03/2006
Last updated
03/16/2010
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