Provider Demographics
NPI:1679595706
Name:HEART LUNG SURGICAL INSTITUTE OF SOUTH FLORIDA LLP
Entity Type:Organization
Organization Name:HEART LUNG SURGICAL INSTITUTE OF SOUTH FLORIDA LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CATINELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-942-7083
Mailing Address - Street 1:5601 N DIXIE HWY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4148
Mailing Address - Country:US
Mailing Address - Phone:954-942-7083
Mailing Address - Fax:954-491-2628
Practice Address - Street 1:5601 N DIXIE HWY
Practice Address - Street 2:SUITE 209
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-4148
Practice Address - Country:US
Practice Address - Phone:954-942-7083
Practice Address - Fax:954-491-2628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL97641OtherBLUE SHIELD OF FLORIDA
FLCL0134OtherRAILROAD MEDICARE
FL061171900Medicaid
FL97641Medicare PIN