Provider Demographics
NPI:1811452899
Name:ARRHYTHMIA AND CARDIOVASCULAR INSTITUTE LLC
Entity type:Organization
Organization Name:ARRHYTHMIA AND CARDIOVASCULAR INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAFI
Authorized Official - Middle Name:UDDIN
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-224-3634
Mailing Address - Street 1:107 MONTARA DR
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-5019
Mailing Address - Country:US
Mailing Address - Phone:609-224-3634
Mailing Address - Fax:863-271-4222
Practice Address - Street 1:107 MONTARA DR
Practice Address - Street 2:
Practice Address - City:SEFFNER
Practice Address - State:FL
Practice Address - Zip Code:33584-5019
Practice Address - Country:US
Practice Address - Phone:609-224-3634
Practice Address - Fax:863-271-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty