Organization Active NPI

Cardiovascular Health Center PA

  • Cardiovascular Disease Physician
  • Orlando, FL
National Provider Identifier
1326130808
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0049316 Issued in FL
Legal business name
CARDIOVASCULAR HEALTH CENTER PA
Practice address
3802 Oakwater Cir
Suite 2
Orlando, FL 32806-6200
Phone
(407) 855-1520
Fax
(407) 855-1590
NPI assigned
Sep 29, 2006
Last updated
May 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Mrs. Zulima A. Nicoloff, M.D.NPI 1598857294
Title
Physician
Phone
(407) 855-1520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0049316 FL Primary

Addresses

Primary practice location

3802 Oakwater Cir
Suite 2
Orlando, FL 32806-6200

Mailing address

PO Box 568217
Orlando, FL 32856-8217
Phone (407) 855-1520

Other identifiers 2

IdentifierTypeStateIssuer
1598857294OtherFLNPPES
14550XOtherFLECG READING PANEL, INC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324000054 FL Part B Supplier - Clinic/Group Practice 1658406079 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0961955Cardiovascular Health Center PA3802 Oakwater Circle Ste 2, Orlando, FL 32806Certificate of waiverJun 20, 2027

National Provider Directory

National Provider Directory

Locations

3802 Oakwater Cir
Ste 2
Orlando, FL 32806
Phone (407) 855-1520

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1326130808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568217",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328568217",
            "telephone_number": "407-855-1520",
            "fax_number": "407-855-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 OAKWATER CIR",
            "address_2": "SUITE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066200",
            "telephone_number": "407-855-1520",
            "fax_number": "407-855-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "NICOLOFF",
        "authorized_official_first_name": "ZULIMA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-855-1520",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "0049316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1598857294",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECG READING PANEL, INC.",
            "identifier": "14550X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.