Provider Demographics
NPI:1982763009
Name:CARDIOLOGY CONSULTANTS OF WEST BROWARD,PA
Entity Type:Organization
Organization Name:CARDIOLOGY CONSULTANTS OF WEST BROWARD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HILAIRE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FERNANDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:954-587-4112
Mailing Address - Street 1:7050 NW 4TH ST
Mailing Address - Street 2:101
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2247
Mailing Address - Country:US
Mailing Address - Phone:954-587-4112
Mailing Address - Fax:954-587-2401
Practice Address - Street 1:7050 NW 4TH ST
Practice Address - Street 2:101
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2247
Practice Address - Country:US
Practice Address - Phone:954-587-4112
Practice Address - Fax:954-587-2401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty