CARDIOLOGY PHYSICIANS MEMORIAL, LLC – NPI #1740559855
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CARDIOLOGY PHYSICIANS MEMORIAL, LLC is a provider located in DAYTONA BEACH, FL. NPPES has assigned the NPI number 1740559855 to CARDIOLOGY PHYSICIANS MEMORIAL, LLC on December 19, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 2 years ago on May 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARDIOLOGY PHYSICIANS MEMORIAL, LLC below.

NPI Profile for
CARDIOLOGY PHYSICIANS MEMORIAL, LLC

NPI Number
1740559855
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARDIOLOGY PHYSICIANS MEMORIAL, LLC
Primary location
103 MEMORIAL MEDICAL PKWY
SUITE 200
DAYTONA BEACH, FL 32117
Phone: (386) 615-1521 Fax: (386) 671-0694
1 Other location(s):
600 Palmetto St
New Smyrna Beach, FL 32168-7327
Phone: (386) 615-1521
Fax: (386) 671-0694
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TRENAE HOSKIN
ADMINISTRATOR
Phone: (386) 615-1521
Updated
Certification Date
Apr 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.