Organization Active NPI

Arrhythmia and Cardiovascular Associates, LLC

  • Cardiovascular Disease Physician
  • Davenport, FL
National Provider Identifier
1215397203
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ARRHYTHMIA AND CARDIOVASCULAR ASSOCIATES, LLC
Practice address
2320 North Blvd W Ste a
Davenport, FL 33837-8924
Phone
(863) 353-7858
Fax
(863) 508-6362
NPI assigned
Mar 3, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Luis E Carrillo, MD
Title
Owner
Phone
(863) 353-7858

National Provider Directory

National Provider Directory

Locations

2320 North Blvd W
Ste D
Davenport, FL 33837
Phone (863) 204-9800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2320 North Blvd W Ste a
Davenport, FL 33837-8924

Mailing address

2320 North Blvd W Ste a
Davenport, FL 33837-8924
Phone (863) 353-7858

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2016.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1215397203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 NORTH BLVD W STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378924",
            "telephone_number": "863-353-7858",
            "fax_number": "863-508-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NORTH BLVD W STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378924",
            "telephone_number": "863-353-7858",
            "fax_number": "863-508-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARRHYTHMIA AND CARDIOVASCULAR ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-353-7858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.