Provider Demographics
NPI:1619517943
Name:CARDIOVASCULAR CARE OF SOUTH FLORIDA LLC
Entity Type:Organization
Organization Name:CARDIOVASCULAR CARE OF SOUTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:M
Authorized Official - Last Name:HIRZEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-456-7636
Mailing Address - Street 1:8726 NW 26TH ST STE 5
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1628
Mailing Address - Country:US
Mailing Address - Phone:305-456-7636
Mailing Address - Fax:305-468-6363
Practice Address - Street 1:8726 NW 26TH ST STE 5
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1628
Practice Address - Country:US
Practice Address - Phone:305-456-7636
Practice Address - Fax:305-468-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty