Provider Demographics
NPI:1982695318
Name:CARDIOLOGY ASSOCIATES OF BOCA RATON, LLP
Entity type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF BOCA RATON, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:FUNT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-483-8335
Mailing Address - Street 1:9980 CENTRAL PARK BLVD N.
Mailing Address - Street 2:SUITE 304.
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428
Mailing Address - Country:US
Mailing Address - Phone:561-483-8335
Mailing Address - Fax:561-483-1756
Practice Address - Street 1:9980 CENTRAL PARK BLVD. N.
Practice Address - Street 2:SUITE 304
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428
Practice Address - Country:US
Practice Address - Phone:561-483-8335
Practice Address - Fax:561-483-1756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
39290Medicare UPIN
39290Medicare PIN