Provider Demographics
NPI:1568415453
Name:BOCA RATON EKG READERS INC
Entity Type:Organization
Organization Name:BOCA RATON EKG READERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:EDEP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-395-4600
Mailing Address - Street 1:PO BOX 919593
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-9593
Mailing Address - Country:US
Mailing Address - Phone:954-726-1808
Mailing Address - Fax:954-726-1820
Practice Address - Street 1:800 MEADOWS RD
Practice Address - Street 2:EKG READERS PANEL
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2304
Practice Address - Country:US
Practice Address - Phone:561-955-3073
Practice Address - Fax:561-955-4739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCC5996OtherRAILROAD MEDICARE
FLCC5996OtherRAILROAD MEDICARE