Organization Active NPI

Heart and Hypertension PLC

  • Specialist
  • Debary, FL
National Provider Identifier
1164736880
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 90847 Issued in FL
Legal business name
HEART AND HYPERTENSION PLC
Practice address
70 Fox Ridge CT
Debary, FL 32713-2752
Phone
(386) 668-4411
Fax
(386) 668-8688
NPI assigned
Aug 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Tulio A. Sulbaran, M.D.
Title
Owner
Phone
(386) 668-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 90847 FL Primary

Addresses

Primary practice location

70 Fox Ridge CT
Debary, FL 32713-2752

Mailing address

70 Fox Ridge CT
Debary, FL 32713-2752
Phone (386) 668-4411

Other identifiers 3

IdentifierTypeStateIssuer
1023077047OtherNPI
50159OtherFLBLUE CROSS/BLUE SHIELD
271134600MedicaidFL

National Provider Directory

National Provider Directory

Locations

312 W New York Ave
Deland, FL 32720
Phone (386) 775-2921

2720 Rebecca Ln
Ste 103
Orange City, FL 32763
Phone (386) 774-9890

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1164736880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FOX RIDGE CT",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132752",
            "telephone_number": "386-668-4411",
            "fax_number": "386-668-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FOX RIDGE CT",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132752",
            "telephone_number": "386-668-4411",
            "fax_number": "386-668-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND HYPERTENSION PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "SULBARAN",
        "authorized_official_first_name": "TULIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-668-4411",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 90847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023077047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "50159",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271134600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.