Provider Demographics
NPI:1427311307
Name:HEART SURGERY ASSIST INC.
Entity type:Organization
Organization Name:HEART SURGERY ASSIST INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAREM
Authorized Official - Middle Name:
Authorized Official - Last Name:CALCANO
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:561-460-4978
Mailing Address - Street 1:250 SW 6TH PL
Mailing Address - Street 2:APT 305
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-8393
Mailing Address - Country:US
Mailing Address - Phone:561-460-4978
Mailing Address - Fax:
Practice Address - Street 1:250 SW 6TH PL
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-8393
Practice Address - Country:US
Practice Address - Phone:561-460-4978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-16
Last Update Date:2012-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9104412363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty