Provider Demographics
NPI:1710935796
Name:RAVITSKY & HANNEY DO PA
Entity Type:Organization
Organization Name:RAVITSKY & HANNEY DO PA
Other - Org Name:CARDIOLOGY CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAVITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-848-9797
Mailing Address - Street 1:4700 N CONGRESS AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:561-848-9797
Mailing Address - Fax:561-848-5777
Practice Address - Street 1:4700 N CONGRESS AVE
Practice Address - Street 2:STE 202
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-848-9797
Practice Address - Fax:561-848-5777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty