Organization
PREMIER CARDIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DEMAIO (CEO, PRESIDENT, DIRECTOR)
(917) 969-1925
Entity
Organization
Contact information
Practice address
661 GOODLETTE-FRANK RD N STE 104, NAPLES, FL 34102-5609
(239) 674-6593
(941) 827-2932
Mailing address
661 GOODLETTE-FRANK RD N STE 104, NAPLES, FL 34102-5609
(239) 674-6593
(941) 827-2932
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HS665A
MEDICARE PTAN
FL
Enumeration date
06/20/2013
Last updated
07/28/2020
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