Organization Active NPI

A M Eldin MD PA

Doing business as Brooksville Cardiology

  • Cardiovascular Disease Physician
  • Brooksville, FL
National Provider Identifier
1225224686
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
A M ELDIN MD PA
Doing business as
Brooksville Cardiology
Practice address
12082 Cortez Blvd
Brooksville, FL 34613-7371
Phone
(352) 592-4938
Fax
(352) 592-4941
NPI assigned
Sep 19, 2007
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. Adel M Mohi Eldin, MD
Title
Owner
Phone
(352) 592-4938

Specialties & licenses 1

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

Addresses

Primary practice location

12082 Cortez Blvd
Brooksville, FL 34613-7371

Mailing address

12082 Cortez Blvd
Brooksville, FL 34613-7371
Phone (352) 592-4938

Other names 1

  • Brooksville Cardiology Doing business as

National Provider Directory

National Provider Directory

Locations

72 Ponce de Leon Blvd
Brooksville, FL 34601
Phone (352) 797-6353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1225224686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12082 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137371",
            "telephone_number": "352-592-4938",
            "fax_number": "352-592-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12082 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137371",
            "telephone_number": "352-592-4938",
            "fax_number": "352-592-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A M ELDIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "MOHI ELDIN",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-592-4938",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Brooksville Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.