Personal Heart Care PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME0064086 Issued in FL

Legal business name

PERSONAL HEART CARE PA

Practice address

7824 Lake Underhill Rd
Suite E
Orlando, FL 32822-8201

Phone

(407) 367-0742

Fax

(407) 367-0386

NPI assigned

Jun 20, 2008

Organization subpart

No

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

Authorized official

Name

Glenn Keith Harris, M.D.

Title

President

Phone

(407) 367-0742

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1154582286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7824 LAKE UNDERHILL RD",
            "address_2": "SUITE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228201",
            "telephone_number": "407-367-0742",
            "fax_number": "407-367-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7824 LAKE UNDERHILL RD",
            "address_2": "SUITE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228201",
            "telephone_number": "407-367-0742",
            "fax_number": "407-367-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HEART CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-367-0742",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0064086",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "177336-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Amanda Persaud
• Rocky Persaud
• Sasha Persaud
• Sonya Persaud
• Personal Care Calling Services
• Personal Injury Pain Fix LLC
• Personal Pediatrics
• Jana L Perun, ARNP
• Maria Jose Pesantez Lanas
• Peter Pan Day Care Center

• Medical Specialty Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.