Provider Demographics
NPI:1851608939
Name:SONOCARDIO FLORIDA. CORP
Entity Type:Organization
Organization Name:SONOCARDIO FLORIDA. CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ZULMA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:RVT, RDMS
Authorized Official - Phone:954-348-7058
Mailing Address - Street 1:1112 WESTON RD STE 117
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1915
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13790 NW 4TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33325-6216
Practice Address - Country:US
Practice Address - Phone:954-348-7058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD71577261QR0200X, 261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology