Provider Demographics
NPI:1720240930
Name:SOOUTH FLORIDA HEART TRANSPORTATION
Entity type:Organization
Organization Name:SOOUTH FLORIDA HEART TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:MITNITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-796-2720
Mailing Address - Street 1:2751 S OCEAN DR
Mailing Address - Street 2:SUITE S1506
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2721
Mailing Address - Country:US
Mailing Address - Phone:954-923-3624
Mailing Address - Fax:
Practice Address - Street 1:2751 S OCEAN DR
Practice Address - Street 2:SUITE S1506
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2721
Practice Address - Country:US
Practice Address - Phone:954-923-3624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-29
Last Update Date:2008-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)