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Florida Keys Cardiology, LLC

Organization Active NPI Cardiovascular Disease Physician · Key Largo, FL

NPI 1609126366 · NPPES record last updated Mar 21, 2019

Key facts

NPI
1609126366
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
ME86926 (FL)
Legal business name
FLORIDA KEYS CARDIOLOGY, LLC
Practice address
103400 Overseas Hwy
Suite 200
Key Largo, FL 33037
Phone
(305) 853-7171
Fax
(305) 853-7151
NPI assigned
Sep 10, 2012
Organization subpart
Yes
Parent organization (as reported)
FLORIDA KEYS CARDIOLOGY, LLC

Authorized official

Name
Mrs. Madhavi Gunda Chunduru, M.D.
Title
Managing Member
Phone
(305) 942-1550

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1016024Florida Keys Cardiology
103400 Overseas Hwy, Key Largo, FL 33037		Certificate of waiverAug 17, 2027

National Provider Directory

Part of
Florida Keys Cardiology

Locations

650 NE 22nd Ter
Ste 313
Homestead, FL 33033
Phone (305) 853-7171

103400 Overseas Hwy
Ste 200
Key Largo, FL 33037
Phone (305) 396-7574

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RC0000X ME86926 FL Yes

Addresses

Primary practice location

103400 Overseas Hwy
Suite 200
Key Largo, FL 33037

Mailing address

P.O. Box 9507
Tavernier, FL 33070-9507
Phone (305) 853-7171

Other providers in Key Largo, FL

All providers in Key Largo, FL · Cardiovascular Disease Physician in Florida

Sources for this page

Verify at the official NPI Registry.