Organization Active NPI

Florida Cardiac Consultants, Inc

  • Medical Specialty Clinic/Center
  • Wauchula, FL
National Provider Identifier
1184888950
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FLORIDA CARDIAC CONSULTANTS, INC
Practice address
463 Carlton St
Wauchula, FL 33873-3400
Phone
(863) 767-0660
NPI assigned
Jul 11, 2008
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

463 Carlton St
Wauchula, FL 33873-3400

Mailing address

PO Box 25377
Sarasota, FL 34277
Phone (941) 917-0060

Other identifiers 3

IdentifierTypeStateIssuer
057520800MedicaidFL
CA6910OtherFLRAILROAD MEDICARE
98788OtherFLBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory
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.

Locations

463 Carlton St
Wauchula, FL 33873
Phone (863) 767-0522

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1184888950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25377",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34277",
            "telephone_number": "941-917-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 CARLTON ST",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733400",
            "telephone_number": "863-767-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CARDIAC CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "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": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057520800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA6910",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "98788",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauchula, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.