Provider Demographics
NPI:1336103100
Name:FLORIDA HEART SPECIALISTS
Entity Type:Organization
Organization Name:FLORIDA HEART SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-436-6660
Mailing Address - Street 1:603 N FLAMINGO RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1023
Mailing Address - Country:US
Mailing Address - Phone:954-436-6660
Mailing Address - Fax:954-436-6655
Practice Address - Street 1:603 N FLAMINGO RD
Practice Address - Street 2:SUITE 150
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1023
Practice Address - Country:US
Practice Address - Phone:954-436-6660
Practice Address - Fax:954-436-6655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty