Active NPI
Heart of Florida Cardiovascular Consultants PA
- Specialist
- Weeki Wachee, FL
National Provider Identifier
1174748115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME59444
- Legal business name
- HEART OF FLORIDA CARDIOVASCULAR CONSULTANTS PA
- Practice address
- 10145 Cortez Blvd
Weeki Wachee, FL 34613-6385 - Phone
- (352) 597-4631
- Fax
- (352) 597-0076
- NPI assigned
- Apr 16, 2007
- 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
- Dr. Andre M Brooks, M.D.
- Title
- Owner
- Phone
- (352) 597-4631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME59444 | FL | Primary |
Addresses
Primary practice location
10145 Cortez Blvd
Weeki Wachee, FL 34613-6385
Mailing address
10091 Cortez Blvd
Weeki Wachee, FL 34613-6378
Phone (352) 597-4631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054647000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Specialist
- Weeki Wachee, FL
- NPI 1861618225
O20120206000198
National Provider Directory
National Provider DirectoryLocations
5975 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 628-3212
10145 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 597-4631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Spring Hill, FL
- NPI 1225079890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1174748115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10091 CORTEZ BLVD",
"city": "WEEKI WACHEE",
"state": "FL",
"postal_code": "346136378",
"telephone_number": "352-597-4631",
"fax_number": "352-597-0076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10145 CORTEZ BLVD",
"city": "WEEKI WACHEE",
"state": "FL",
"postal_code": "346136385",
"telephone_number": "352-597-4631",
"fax_number": "352-597-0076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART OF FLORIDA CARDIOVASCULAR CONSULTANTS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "ANDRE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-597-4631",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME59444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054647000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weeki Wachee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.