Basic Information
| Provider Information | |||||||||
| NPI: | 1285021477 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FLORIDA INSTITUTE OF HEATL, LTD, LLLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4850 W OAKLAND PARK BLVD | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | LAUDERDALE LAKES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333137260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544847030 | ||||||||
| FaxNumber: | 9544841280 | ||||||||
| Practice Location | |||||||||
| Address1: | 7421 NW 4TH ST | ||||||||
| Address2: | SUITE101 | ||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333172204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546165593 | ||||||||
| FaxNumber: | 9543682562 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2015 | ||||||||
| LastUpdateDate: | 04/25/2015 | ||||||||
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| AuthorizedOfficialLastName: | SETH | ||||||||
| AuthorizedOfficialFirstName: | RAGHAV | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | CARDIOVASCULAR DISEASE, MD | ||||||||
| AuthorizedOfficialTelephone: | 9546165593 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | ME52141 | FL | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.