Provider Demographics
NPI:1386678217
Name:CARDIOLOGY ASSOCIATES OF STUART P A
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF STUART P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HELFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-781-0222
Mailing Address - Street 1:1027 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-2576
Mailing Address - Country:US
Mailing Address - Phone:772-781-0222
Mailing Address - Fax:772-781-0008
Practice Address - Street 1:1027 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2576
Practice Address - Country:US
Practice Address - Phone:772-781-0222
Practice Address - Fax:772-781-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10D1006851OtherCLIA EXEMPTION
FL379411300Medicaid
FL379411300Medicaid
FL379411300Medicaid