Provider Demographics
NPI:1881680502
Name:HEART CARE OF SOUTH FLORIDA PA
Entity Type:Organization
Organization Name:HEART CARE OF SOUTH FLORIDA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-227-7787
Mailing Address - Street 1:2901 CORAL HILLS DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4146
Mailing Address - Country:US
Mailing Address - Phone:954-227-7787
Mailing Address - Fax:954-227-1787
Practice Address - Street 1:2901 CORAL HILLS DR
Practice Address - Street 2:SUITE 240
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4146
Practice Address - Country:US
Practice Address - Phone:954-227-7787
Practice Address - Fax:954-227-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1535Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER