Doral Cardiology, INC.,
Internal Medicine, Cardiovascular Disease in Doral, FL. Organization (NPI-2).
NPI number1811409352
StatusActive
Last updated in NPPESOct 24, 2017
Details
- NPI
- 1811409352
- Entity type
- Organization (NPI-2)
- Legal business name
- Doral Cardiology, INC.,
- Organization subpart
- No
- Enumeration date
- Oct 24, 2017
- Last updated
- Oct 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | ACN840 | FL | Yes |
Other names
- Doral Cardiology, INC., (Former Legal Business Name)
Practice location
9851 Nw 58th St Unit 125Doral, FL 33178-2718
Phone 305-403-1035 · Fax 305-403-1036
Mailing address
9851 Nw 58th St Unit 125Doral, FL 33178-2718
Phone 305-403-1035 · Fax 305-403-1036
Authorized official
Jose Bernardo Vazquez-Tanus
President
3054031035
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