Organization Active NPI

Central Florida Heart Group P.a.

  • Cardiovascular Disease Physician
  • Ocala, FL
National Provider Identifier
1013044726
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CENTRAL FLORIDA HEART GROUP P.A.
Practice address
6600 SW Hwy 200
Suite 300
Ocala, FL 34476
Phone
(352) 237-4116
Fax
(352) 237-1785
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kami Kolaventy
Title
Office Manager
Phone
(352) 237-4116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

6600 SW Hwy 200
Suite 300
Ocala, FL 34476

Mailing address

6600 SW Hwy 200
Suite # 300
Ocala, FL 34476
Phone (352) 237-4116

Other identifiers 1

IdentifierTypeStateIssuer
51646ZOtherFLBCBS GROUP ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421000236 FL Part B Supplier - Clinic/Group Practice 5890781405 Receives reassigned benefits from 5 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Heart Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5425 SE 111th St
Belleview, FL 34420
Phone (352) 245-5178

9860 SW 84th Ct
Ste A
Ocala, FL 34481

9850 SW 84th Ct
Ste 400
Ocala, FL 34481

2801 SW College Rd
Ste 12
Ocala, FL 34474
Phone 3524330091 ext. 1

4669 E Sr 44
Wildwood, FL 34785

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1013044726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 SW HWY 200",
            "address_2": "SUITE # 300",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34476",
            "telephone_number": "352-237-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 SW HWY 200",
            "address_2": "SUITE 300",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34476",
            "telephone_number": "352-237-4116",
            "fax_number": "352-237-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA HEART GROUP P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "KOLAVENTY",
        "authorized_official_first_name": "KAMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-237-4116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID #",
            "identifier": "51646Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.