Provider Demographics
NPI:1376560078
Name:CARDIOLOGY ASSOCIATES OF TALLAHASSEE
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF TALLAHASSEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:JYOTSNA
Authorized Official - Middle Name:NARSINGH
Authorized Official - Last Name:DALAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-656-3653
Mailing Address - Street 1:1626 RIGGINS RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5316
Mailing Address - Country:US
Mailing Address - Phone:850-656-3653
Mailing Address - Fax:850-878-0383
Practice Address - Street 1:1626 RIGGINS RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5316
Practice Address - Country:US
Practice Address - Phone:850-656-3653
Practice Address - Fax:850-878-0383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0069092207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27951OtherBLUE SHIELD OF FLORIDA
FL=========OtherVISTA HEALTHPLAN
FL=========OtherVISTA HEALTHPLAN
FL27951Medicare ID - Type Unspecified