Provider Demographics
NPI:1538305768
Name:SOFFER HEART INSTITUTE PA
Entity Type:Organization
Organization Name:SOFFER HEART INSTITUTE PA
Other - Org Name:ARIEL SOFFER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-558-0911
Mailing Address - Street 1:21550 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 133
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1261
Mailing Address - Country:US
Mailing Address - Phone:305-792-0555
Mailing Address - Fax:305-792-0557
Practice Address - Street 1:21550 BISCAYNE BLVD
Practice Address - Street 2:SUITE 133
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1261
Practice Address - Country:US
Practice Address - Phone:305-792-0555
Practice Address - Fax:305-792-0557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1538305768Medicare PIN