Organization Active NPI

Center for Vein and Vascular Disease

  • Cardiovascular Disease Physician
  • Altamonte Springs, FL
National Provider Identifier
1316385404
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD95035 Issued in FL
Legal business name
CENTER FOR VEIN AND VASCULAR DISEASE
Practice address
450 W Central Pkwy
Suite 2000
Altamonte Springs, FL 32714-2436
Phone
(407) 865-7091
Fax
(407) 865-7090
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Mrs. Christi A Hudiburg, BS, CAAMA
Title
Practice Administrator
Phone
(407) 767-8554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD95035 FL Primary

Addresses

Primary practice location

450 W Central Pkwy
Suite 2000
Altamonte Springs, FL 32714-2436

Mailing address

450 W Central Pkwy
Suite 2000
Altamonte Springs, FL 32714-2436
Phone (407) 865-7091

Other identifiers 3

IdentifierTypeStateIssuer
1235150103OtherNPI
1407877384OtherNPI
1437122660OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1316385404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W CENTRAL PKWY",
            "address_2": "SUITE 2000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142436",
            "telephone_number": "407-865-7091",
            "fax_number": "407-865-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W CENTRAL PKWY",
            "address_2": "SUITE 2000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142436",
            "telephone_number": "407-865-7091",
            "fax_number": "407-865-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VEIN AND VASCULAR DISEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "HUDIBURG",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "407-767-8554",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, CAAMA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "MD95035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235150103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407877384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437122660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.