Provider Demographics
NPI:1609183011
Name:CARDIAC PERFUSION CORPORATION
Entity Type:Organization
Organization Name:CARDIAC PERFUSION CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMANDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-492-6591
Mailing Address - Street 1:8813 PINTO DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467
Mailing Address - Country:US
Mailing Address - Phone:866-492-6591
Mailing Address - Fax:800-808-9694
Practice Address - Street 1:8813 PINTO DRIVE
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467
Practice Address - Country:US
Practice Address - Phone:866-492-6591
Practice Address - Fax:800-808-9694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionistGroup - Single Specialty