Provider Demographics
NPI:1538305768
Name:SOFFER HEART INSTITUTE PA
Entity type:Organization
Organization Name:SOFFER HEART INSTITUTE PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-558-0911
Mailing Address - Street 1:2131 HOLLYWOOD BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6728
Mailing Address - Country:US
Mailing Address - Phone:305-792-0555
Mailing Address - Fax:305-792-0557
Practice Address - Street 1:2131 HOLLYWOOD BLVD STE 101
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6728
Practice Address - Country:US
Practice Address - Phone:305-792-0555
Practice Address - Fax:305-792-0557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1538305768Medicare PIN