Provider Demographics
NPI:1033119656
Name:SOUTH FLORIDA INTERNATIONAL CARDIOLOGY CONSULTANTS INC
Entity Type:Organization
Organization Name:SOUTH FLORIDA INTERNATIONAL CARDIOLOGY CONSULTANTS INC
Other - Org Name:MIAMI INTERNATIONAL CARDIOLOGY CONSULTANTS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:COY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-571-0620
Mailing Address - Street 1:3801 BISCAYNE BLVD
Mailing Address - Street 2:3RD FL
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-9800
Mailing Address - Country:US
Mailing Address - Phone:305-571-0620
Mailing Address - Fax:305-576-0919
Practice Address - Street 1:3801 BISCAYNE BLVD
Practice Address - Street 2:3RD FL
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-9800
Practice Address - Country:US
Practice Address - Phone:305-571-0620
Practice Address - Fax:305-576-0919
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIAMI INTERNATIONAL CARDIOLOGY CONSULTANTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
204E00000X, 207V00000X, 207X00000X, 207XP3100X, 2083P0011X
FL207R00000X, 207RI0008X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatologyGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Multi-Specialty
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40988Medicare PIN
FL40988AMedicare PIN
FL40988DMedicare PIN
FL40988CMedicare PIN
FL40988KMedicare PIN