Organization Active NPI

Cardiac Specialty Institute LLC

  • Cardiovascular Disease Physician
  • Leesburg, FL
National Provider Identifier
1104242346
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC SPECIALTY INSTITUTE LLC
Practice address
803 E Dixie Ave
Leesburg, FL 34748-6013
Phone
(352) 530-2256
Fax
(352) 530-2260
NPI assigned
Mar 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Dr. Sanjeev Bhatta, M.D.
Title
Ambr
Phone
(352) 530-2256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

803 E Dixie Ave
Leesburg, FL 34748-6013

Mailing address

803 E Dixie Ave
Leesburg, FL 34748-6013
Phone (352) 530-2256

National Provider Directory

National Provider Directory

Locations

809 Highway 466
Ste 101
Lady Lake, FL 32159
Phone (352) 530-2256

1149 Main St
The Villages, FL 32159
Phone (352) 530-2256

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1104242346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486013",
            "telephone_number": "352-530-2256",
            "fax_number": "352-530-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486013",
            "telephone_number": "352-530-2256",
            "fax_number": "352-530-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC SPECIALTY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "BHATTA",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "352-530-2256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.