Provider Demographics
NPI:1194852293
Name:BAPTIST ECHOCARDIOGRAPHY ASSOCIATES INC
Entity Type:Organization
Organization Name:BAPTIST ECHOCARDIOGRAPHY ASSOCIATES INC
Other - Org Name:BAPTIST HOSPITAL ECHOCARDIOGRAPHY ASSOCIATES PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMBURG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-279-4500
Mailing Address - Street 1:8353 SW 124TH STREET
Mailing Address - Street 2:#208
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-0000
Mailing Address - Country:US
Mailing Address - Phone:305-235-9078
Mailing Address - Fax:305-235-8290
Practice Address - Street 1:8900 N KENDALL DRIVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-0000
Practice Address - Country:US
Practice Address - Phone:786-596-1960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252560700Medicaid
FL40875Medicare PIN