Active NPI
Cardiovascular Clinic of East Fort Lauderdale LLC
- Multi-Specialty Clinic/Center
- Fort Lauderdale, FL
National Provider Identifier
1114606480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CARDIOVASCULAR CLINIC OF EAST FORT LAUDERDALE LLC
- Practice address
- 1925 NE 45TH St
Fort Lauderdale, FL 33308-5121 - Phone
- (954) 651-9847
- NPI assigned
- Jul 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Bemis
- Title
- Chief Clinical Officer
- Phone
- (610) 644-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1925 NE 45TH St
Fort Lauderdale, FL 33308-5121
Mailing address
40 Valley Stream Pkwy Ste 100
Malvern, PA 19355-1407
Phone (610) 644-8900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689292800000",
"number": "1114606480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 VALLEY STREAM PKWY STE 100",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551407",
"telephone_number": "610-644-8900",
"fax_number": "484-924-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 NE 45TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333085121",
"telephone_number": "954-651-9847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR CLINIC OF EAST FORT LAUDERDALE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A",
"authorized_official_last_name": "BEMIS",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
"authorized_official_telephone_number": "610-644-8900"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Cardiac Arrhythmia Service Inc
- Cardiac Cath Lab of East Fort Lauderdale, LLC
- Cardio Thoracic Surgical Institute of South Florida, LLLP
- Cardiology Associates of Fort Lauderdale PA
- Cardiovascular & Thoracic Surgeons of Greater Ft Lauderdale, LLP
- Jeffrey Cardona, MS, LMHC
- Care Access Health Plan, Inc
- Care Access PSN, LLC
- Care Alternatives,Inc
- Care Alternatives,Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.