Provider Demographics
NPI:1245328038
Name:CESAR A CONDE CARDIOLOGY ASSOCIATES PA
Entity type:Organization
Organization Name:CESAR A CONDE CARDIOLOGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:CONDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-534-4564
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2891
Mailing Address - Country:US
Mailing Address - Phone:305-534-4564
Mailing Address - Fax:305-534-6678
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-534-4564
Practice Address - Fax:305-534-6678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0021245207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1932159043OtherNPI NUMBER
FLD59881Medicare UPIN
FLK2305Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
FL91966SMedicare ID - Type UnspecifiedMEDICARE NUMBER