NPIMap

Organization Active NPI

Greater Ft Lauderdale Heart Group

  • Cardiovascular Disease Physician
  • Fort Lauderdale, FL
National Provider Identifier
1740279249
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
80002579 Issued in FL
Legal business name
GREATER FT LAUDERDALE HEART GROUP
Practice address
3536 N Federal Hwy
Suite 200
Fort Lauderdale, FL 33308-6264
Phone
(954) 566-8367
Fax
(954) 566-6488
NPI assigned
Oct 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Paul L Rondino, M.D
Title
Managing Partner
Phone
(954) 785-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 80002579 FL Primary

Addresses

Primary practice location

3536 N Federal Hwy
Suite 200
Fort Lauderdale, FL 33308-6264

Mailing address

3536 North Federal Hwy
Suite #200
Fort Lauderdale, FL 33308
Phone (954) 566-8367

Other identifiers 1

IdentifierTypeStateIssuer
258040300MedicaidFL

National Provider Directory

National Provider Directory

Locations

3536 N Federal Hwy
Ste 200
Ft Lauderdale, FL 33308
Phone (954) 566-8367

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1740279249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 NORTH FEDERAL HWY",
            "address_2": "SUITE #200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-566-8367",
            "fax_number": "954-566-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 N FEDERAL HWY",
            "address_2": "SUITE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086264",
            "telephone_number": "954-566-8367",
            "fax_number": "954-566-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER FT LAUDERDALE HEART GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "RONDINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "954-785-0300",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "80002579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258040300",
            "state": "FL"
        }
    ],
    "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 Sep 21, 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.