Cardiovascular Specialists PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CARDIOVASCULAR SPECIALISTS PA

Practice address

305 N Mangoustine Ave
Ste 200
Sanford, FL 32771-1004

Phone

(407) 321-1415

Fax

(407) 321-1597

NPI assigned

May 18, 2006

Last updated

Sep 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cecelia R. Bryant

Title

Administrator

Phone

(407) 321-1415

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1336192848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N MANGOUSTINE AVE",
            "address_2": "STE 200",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711004",
            "telephone_number": "407-321-1415",
            "fax_number": "407-321-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N MANGOUSTINE AVE",
            "address_2": "STE 200",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711004",
            "telephone_number": "407-321-1415",
            "fax_number": "407-321-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-321-1415",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "38686",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274257800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Roberta Cain, OPTICIAN
• Oriella Camacho Benitez
• Yajaira Michelle Camacho
• Ashanty S Campbell, BS/SLP
• Mary Paula Capasso Villagra, DDS
• Carehere LLC (Carehere City of Sanford)
• Careone Pharmacy Services LLC (Careone Pharmacy Services Sanford)
• Caring Heart Cardiovascular Associates LLC
• Linda Jan Carlson, ARNP
• Maria Leticia Carnielli Tebet, M.D

• Specialist in Sanford, FL
• Providers in Sanford, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.