Provider Demographics
NPI:1588850572
Name:DARE HEART CENTER, INC
Entity Type:Organization
Organization Name:DARE HEART CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-261-9047
Mailing Address - Street 1:5136 N CROATAN HWY
Mailing Address - Street 2:
Mailing Address - City:KITTY HAWK
Mailing Address - State:NC
Mailing Address - Zip Code:27949-3988
Mailing Address - Country:US
Mailing Address - Phone:252-261-9047
Mailing Address - Fax:252-261-2873
Practice Address - Street 1:5136 N CROATAN HWY
Practice Address - Street 2:
Practice Address - City:KITTY HAWK
Practice Address - State:NC
Practice Address - Zip Code:27949-3988
Practice Address - Country:US
Practice Address - Phone:252-261-9047
Practice Address - Fax:252-261-2873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36487174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty