Provider Demographics
NPI:1649565177
Name:METABOLIC AND CARDIOVASCULAR INSTITUTE OF FLORIDA
Entity Type:Organization
Organization Name:METABOLIC AND CARDIOVASCULAR INSTITUTE OF FLORIDA
Other - Org Name:MCI HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:SADOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-233-8183
Mailing Address - Street 1:PO BOX 2651
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-2651
Mailing Address - Country:US
Mailing Address - Phone:561-833-8663
Mailing Address - Fax:561-833-8663
Practice Address - Street 1:340 COLUMBIA DR
Practice Address - Street 2:SUITE 108
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1975
Practice Address - Country:US
Practice Address - Phone:877-395-6731
Practice Address - Fax:561-616-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME453441744R1102X, 207RB0002X, 207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity MedicineGroup - Single Specialty
No1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D58295Medicare UPIN