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CARDIOLOGY PHYSICIANS MEMORIAL LLC NPI 1740559855


NPI Information

NPI: 1740559855
Provider Name: CARDIOLOGY PHYSICIANS MEMORIAL, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D1066235

Address:
103 MEMORIAL MEDICAL PKWY
SUITE 200
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 615-1521
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CARDIOLOGY PHYSICIANS MEMORIAL, LLC is a cardiovascular disease internal medicine in Daytona Beach, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CARDIOLOGY PHYSICIANS MEMORIAL, LLC NPI is 1740559855. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

103 MEMORIAL MEDICAL PKWY
SUITE 200
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 615-1521
Fax: (386) 671-0694

The provider's authorized official is Trenae Hoskin .
The authorized official title is Administrator and has the following contact phone number (386) 615-1521.

The CLIA number assigned to this NPI record is 10D1066235 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2011 and was last updated on 4/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.