Provider Demographics
NPI:1558650119
Name:NORTHWEST HEART AND HEALTH INSTITUTE
Entity Type:Organization
Organization Name:NORTHWEST HEART AND HEALTH INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-972-7249
Mailing Address - Street 1:2964 N STATE ROAD 7
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5715
Mailing Address - Country:US
Mailing Address - Phone:954-975-3102
Mailing Address - Fax:
Practice Address - Street 1:2964 N STATE ROAD 7
Practice Address - Street 2:SUITE 110
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5715
Practice Address - Country:US
Practice Address - Phone:954-975-3102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty