Provider Demographics
NPI:1427556083
Name:PRECISION CARDIOLOGY CONSULTANTS LLC
Entity Type:Organization
Organization Name:PRECISION CARDIOLOGY CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:YEMUNA
Authorized Official - Middle Name:EMMY
Authorized Official - Last Name:SATYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-387-4626
Mailing Address - Street 1:3231 GULF GATE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-2406
Mailing Address - Country:US
Mailing Address - Phone:941-387-4626
Mailing Address - Fax:
Practice Address - Street 1:3231 GULF GATE DR STE 101
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-2406
Practice Address - Country:US
Practice Address - Phone:941-387-4626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001202100Medicaid