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Organization

BROWARD HEART GROUP P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY BOLTON (OFFICE MANAGER)
(954) 344-8700
Entity
Organization

Contact information

Practice address
9800 W SAMPLE RD, SUITE A, CORAL SPRINGS, FL 33065-4039
(954) 344-8700
(954) 755-8138
Mailing address
9800 W SAMPLE RD, SUITE A, CORAL SPRINGS, FL 33065-4039
(954) 344-8700
(954) 755-8138

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME003403
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260971101
FL
Enumeration date
07/07/2006
Last updated
11/19/2009
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