Provider Demographics
NPI:1982804449
Name:ADVANCED PACEMAKER SPECIALIST INC
Entity Type:Organization
Organization Name:ADVANCED PACEMAKER SPECIALIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:CHEA
Authorized Official - Last Name:HARAN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, FNP
Authorized Official - Phone:305-242-5620
Mailing Address - Street 1:PO BOX 901747
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33090-1747
Mailing Address - Country:US
Mailing Address - Phone:305-242-5620
Mailing Address - Fax:
Practice Address - Street 1:1532 FLAMINGO CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-1025
Practice Address - Country:US
Practice Address - Phone:305-242-5620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health