Provider Demographics
NPI:1003523564
Name:CARDIOLOGY AND FITNESS MEDICINE LLC
Entity Type:Organization
Organization Name:CARDIOLOGY AND FITNESS MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:O
Authorized Official - Last Name:NASCIMENTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-278-1910
Mailing Address - Street 1:PO BOX 7933
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33482-7933
Mailing Address - Country:US
Mailing Address - Phone:561-278-1910
Mailing Address - Fax:
Practice Address - Street 1:6238 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3501
Practice Address - Country:US
Practice Address - Phone:561-278-1910
Practice Address - Fax:561-274-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities
No163WC3500XNursing Service ProvidersRegistered NurseCardiac RehabilitationGroup - Multi-Specialty