Provider Demographics
NPI:1922281336
Name:CARDIOLOGY HEALTHCARE OF SOUTH FLORIDA CORP
Entity Type:Organization
Organization Name:CARDIOLOGY HEALTHCARE OF SOUTH FLORIDA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAQUIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:DIEGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-270-3075
Mailing Address - Street 1:7190 SW 87TH AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2507
Mailing Address - Country:US
Mailing Address - Phone:305-270-3075
Mailing Address - Fax:305-412-6338
Practice Address - Street 1:7190 SW 87TH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2507
Practice Address - Country:US
Practice Address - Phone:305-270-3075
Practice Address - Fax:305-412-6338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME56696174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty