Florida Cardiac Consultants, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

FLORIDA CARDIAC CONSULTANTS, INC

Practice address

1540 S Tamiami TRL
Suite 401
Sarasota, FL 34239-2940

Phone

(941) 917-0060

NPI assigned

Jul 15, 2008

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Spetsios

Title

Administrator

Phone

(941) 917-0060

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Florida Cardiac Consultants Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Florida Cardiac Consultants, Inc

  • Medical Specialty Clinic/Center
  • Wauchula, FL
  • NPI 1184888950
  NPD tax ID
• Florida Cardiac Consultants, Inc

  • Interventional Cardiology Physician
  • Venice, FL
  • NPI 1790948636
  NPD tax ID

Locations

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1144484502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 S TAMIAMI TRL STE 401",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392921",
            "telephone_number": "941-917-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 S TAMIAMI TRL",
            "address_2": "SUITE 401",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392940",
            "telephone_number": "941-917-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CARDIAC CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2023-05-09",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "SPETSIOS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-917-0060"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA6910",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057520800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "98788",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Florida Department of Health (Childrens Health Center)

• Cardiovascular Disease Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.