Provider Demographics
NPI:1891986246
Name:MIAMI ARRHYTHMIA CENTER INC
Entity Type:Organization
Organization Name:MIAMI ARRHYTHMIA CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIE
Authorized Official - Middle Name:RAJA
Authorized Official - Last Name:HADDAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-661-0169
Mailing Address - Street 1:PO BOX 430820
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33243-0820
Mailing Address - Country:US
Mailing Address - Phone:305-661-0169
Mailing Address - Fax:888-811-4447
Practice Address - Street 1:8500 SW 92ND ST
Practice Address - Street 2:208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7390
Practice Address - Country:US
Practice Address - Phone:305-661-0169
Practice Address - Fax:888-811-4447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL93281207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16161OtherBCBS
FLAJ834OtherMEDICARE
I37877Medicare UPIN