Provider Demographics
NPI:1003849787
Name:SOUTH FLORIDA HEART INSTITUTE PA
Entity Type:Organization
Organization Name:SOUTH FLORIDA HEART INSTITUTE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PD
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:P
Authorized Official - Last Name:WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-637-0500
Mailing Address - Street 1:5035 VIA DELRAY
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-1315
Mailing Address - Country:US
Mailing Address - Phone:561-637-0500
Mailing Address - Fax:561-637-0055
Practice Address - Street 1:5035 VIA DELRAY
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-1315
Practice Address - Country:US
Practice Address - Phone:561-637-0500
Practice Address - Fax:561-637-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0059811207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL38288OtherBC/BS FLORIDA GROUP
FL5501823OtherGHI GROUP
FL38288OtherBC/BS FLORIDA GROUP
FLCG3916Medicare ID - Type UnspecifiedRAILROAD GROUP