Organization
ECG READING PANEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO FERNANDEZ M.D. (PRESIDENT)
(407) 422-9831
Entity
Organization
Contact information
Practice address
1414 KUHL AVE, ORLANDO, FL 32806-2008
(407) 422-9831
(407) 648-2065
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI9136
RAILROAD MEDICARE
—
Enumeration date
07/19/2006
Last updated
08/13/2007
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