Organization Active NPI

Treasure Coast Medical Services, Inc.

Doing business as Clermont Cardiac Center

  • Clinic/Center
  • Clermont, FL
National Provider Identifier
1063443794
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC4625 Issued in FL
Legal business name
TREASURE COAST MEDICAL SERVICES, INC.
Doing business as
Clermont Cardiac Center
Practice address
1725 E. State Road 50
Suite a
Clermont, FL 34711
Phone
(352) 243-3517
NPI assigned
Jul 5, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mr. James Allen Rogers, RT CNMT
Title
Ceo
Phone
(772) 770-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC4625 FL Primary

Addresses

Primary practice location

1725 E. State Road 50
Suite a
Clermont, FL 34711

Mailing address

3755 7TH Ter
Suite 102, 203
Vero Beach, FL 32960-6528
Phone (772) 770-2464

Other names 1

  • Clermont Cardiac Center Doing business as

National Provider Directory

National Provider Directory

Locations

1725 E State Road 50
Clermont, FL 34711
Phone (352) 243-3517

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1063443794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 7TH TER",
            "address_2": "SUITE 102, 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606528",
            "telephone_number": "772-770-2464",
            "fax_number": "772-770-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E. STATE ROAD 50",
            "address_2": "SUITE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-243-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-770-2464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT CNMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC4625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clermont Cardiac Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.