Active NPI
South Florida Heart & Vascular
- Interventional Cardiology Physician
- Jupiter, FL
National Provider Identifier
1154030617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- SOUTH FLORIDA HEART & VASCULAR
- Practice address
- 4425 Military TRL Ste 102
Jupiter, FL 33458-4816 - Phone
- (423) 429-0130
- NPI assigned
- Nov 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hemang Bhadreshkumar Panchal, MD
- Title
- Owner
- Phone
- (423) 429-0130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
4425 Military TRL Ste 102
Jupiter, FL 33458-4816
Mailing address
6231 Pga Blvd Ste 104
Palm Beach Gardens, FL 33418-4033
Phone (423) 429-0130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5555 W Blue Heron Blvd
Riviera Beach, FL 33418
Phone (561) 659-1000
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1508155144
-
- Family Nurse Practitioner
- Riviera Beach, FL
- NPI 1932950284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716249600000",
"number": "1154030617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6231 PGA BLVD STE 104",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184033",
"telephone_number": "423-429-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 MILITARY TRL STE 102",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584816",
"telephone_number": "423-429-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FLORIDA HEART & VASCULAR",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-23",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A",
"authorized_official_last_name": "PANCHAL",
"authorized_official_first_name": "HEMANG",
"authorized_official_middle_name": "BHADRESHKUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-429-0130",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- Marlene Sotelo, BCBA-D, MT-BC
- Soul Search Studios
- Nicole Marie Sousa, FNP-BC
- South Florida Ear, Nose & Throat Center,P.a.
- South Florida Foot & Ankle Center
- South Florida Medicine LLC
- South Florida Oral & Maxillofacial Surgery
- South Florida Orthopaedics & Sports Medicine, PA
- South Florida Speech and Swallow
- South Florida Urology Institute LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.