Provider Demographics
NPI:1316142987
Name:SAEF HEARTS LLC
Entity type:Organization
Organization Name:SAEF HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROLD
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAEF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-929-1039
Mailing Address - Street 1:3830 BEE RIDGE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1105
Mailing Address - Country:US
Mailing Address - Phone:941-929-1039
Mailing Address - Fax:941-929-1044
Practice Address - Street 1:3830 BEE RIDGE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1105
Practice Address - Country:US
Practice Address - Phone:941-929-1039
Practice Address - Fax:941-929-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 44818207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL062271100Medicaid
FL062271100Medicaid
FLA56853Medicare UPIN