Our Heart and Vascular Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OUR HEART AND VASCULAR CENTER LLC

Practice address

13740 Office Park CT
Hudson, FL 34667-7145

Phone

(727) 869-5100

Fax

(727) 869-5166

NPI assigned

Feb 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gopal Kishore Chalavarya, M.D

Title

President

Phone

(727) 869-5100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1184892739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13740 OFFICE PARK CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677145",
            "telephone_number": "727-869-5100",
            "fax_number": "727-869-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13740 OFFICE PARK CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677145",
            "telephone_number": "727-869-5100",
            "fax_number": "727-869-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HEART AND VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "CHALAVARYA",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_middle_name": "KISHORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-869-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hudson, FL
• Providers in Hudson, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.