Organization Active NPI

Florida Heart & Vascular Specialists PA

  • Cardiovascular Disease Physician
  • Lakeland, FL
National Provider Identifier
1265702120
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
FLORIDA HEART & VASCULAR SPECIALISTS PA
Practice address
1417 Lakeland Hills Blvd
Suite 106
Lakeland, FL 33805-3200
Phone
(863) 682-8401
Fax
(863) 802-9611
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Rajesh Lall, MD
Title
Owner
Phone
(863) 682-8401

Specialties & licenses 1

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

Addresses

Primary practice location

1417 Lakeland Hills Blvd
Suite 106
Lakeland, FL 33805-3200

Mailing address

1417 Lakeland Hills Blvd
Suite 106
Lakeland, FL 33805-3200
Phone (863) 682-8401

National Provider Directory

National Provider Directory

Locations

3647 Innovation Dr
Lakeland, FL 33812
Phone (863) 272-6990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1265702120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 LAKELAND HILLS BLVD",
            "address_2": "SUITE 106",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053200",
            "telephone_number": "863-682-8401",
            "fax_number": "863-802-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 LAKELAND HILLS BLVD",
            "address_2": "SUITE 106",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053200",
            "telephone_number": "863-682-8401",
            "fax_number": "863-802-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEART & VASCULAR SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "LALL",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-682-8401",
        "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 Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.