Organization Active NPI

South Florida Premiere Cardiology LLC

  • Interventional Cardiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1174763148
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME85982 Issued in FL
Legal business name
SOUTH FLORIDA PREMIERE CARDIOLOGY LLC
Practice address
401 E Las Olas Blvd
Suite 130-137
Fort Lauderdale, FL 33301-2210
Phone
(954) 616-3627
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Zelnick, MD
Title
Owner
Phone
(305) 332-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X ME85982 FL Primary

Addresses

Primary practice location

401 E Las Olas Blvd
Suite 130-137
Fort Lauderdale, FL 33301-2210

Mailing address

401 E Las Olas Blvd
Suite 130-137
Fort Lauderdale, FL 33301-2210

National Provider Directory

National Provider Directory

Locations

401 E Las Olas Blvd
Ste 130137
Fort Lauderdale, FL 33301
Phone (954) 616-3627

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1174763148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E LAS OLAS BLVD",
            "address_2": "SUITE 130-137",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E LAS OLAS BLVD",
            "address_2": "SUITE 130-137",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012210",
            "telephone_number": "954-616-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PREMIERE CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "ZELNICK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-332-3822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME85982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.