Provider Demographics
NPI:1114515244
Name:ECS CARDIOLOGY
Entity Type:Organization
Organization Name:ECS CARDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AT ECS CARDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:S
Authorized Official - Last Name:OKUHARA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-365-0803
Mailing Address - Street 1:10010 KENDA DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-5835
Mailing Address - Country:US
Mailing Address - Phone:727-365-0803
Mailing Address - Fax:
Practice Address - Street 1:10010 KENDA DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-5835
Practice Address - Country:US
Practice Address - Phone:727-365-0803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty