Provider Demographics
NPI:1467157347
Name:NOVA MEDICAL SERVICES - CARDIOLOGY DIVISION LLC
Entity Type:Organization
Organization Name:NOVA MEDICAL SERVICES - CARDIOLOGY DIVISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:DARIO
Authorized Official - Last Name:CANAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DNP
Authorized Official - Phone:786-715-9183
Mailing Address - Street 1:8260 W FLAGLER ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2069
Mailing Address - Country:US
Mailing Address - Phone:786-715-9183
Mailing Address - Fax:786-715-9183
Practice Address - Street 1:8260 W FLAGLER ST STE 1A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2069
Practice Address - Country:US
Practice Address - Phone:786-715-9183
Practice Address - Fax:786-715-9183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty