Provider Demographics
NPI:1104257948
Name:FL CARDIOLOGY PSC
Entity type:Organization
Organization Name:FL CARDIOLOGY PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:LEFEBRE-LLAVONA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-413-7998
Mailing Address - Street 1:22 AVE SAN IGNACIO APT 511
Mailing Address - Street 2:PLAZA DEL PALMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4311
Mailing Address - Country:US
Mailing Address - Phone:787-413-7998
Mailing Address - Fax:
Practice Address - Street 1:22 AVE SAN IGNACIO APT 511
Practice Address - Street 2:PLAZA DEL PALMAR
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4311
Practice Address - Country:US
Practice Address - Phone:787-413-7998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17032261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty