Provider Demographics
NPI:1528724143
Name:HORIZON NUCLEAR CARDIOLOGY INC
Entity type:Organization
Organization Name:HORIZON NUCLEAR CARDIOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BASTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-547-2131
Mailing Address - Street 1:3850 COCONUT CREEK PKWY STE 3
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-1600
Mailing Address - Country:US
Mailing Address - Phone:954-973-9222
Mailing Address - Fax:
Practice Address - Street 1:7353 NW 4TH ST STE B
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2202
Practice Address - Country:US
Practice Address - Phone:754-547-2131
Practice Address - Fax:954-641-1506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty