Florida Cardiocare, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME85309 Issued in FL

Legal business name

FLORIDA CARDIOCARE, PLLC

Practice address

10435 SE 170TH PL
Summerfield, FL 34491-8998

Phone

(352) 854-4582

Fax

(352) 245-1162

NPI assigned

Nov 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Justin Ferns, MD

Title

Physician/ Owner

Phone

(352) 854-4582

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1336493634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 SE 170TH PL",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918998",
            "telephone_number": "352-854-4582",
            "fax_number": "352-245-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 SE 170TH PL",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918998",
            "telephone_number": "352-854-4582",
            "fax_number": "352-245-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CARDIOCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "FERNS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "352-854-4582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME85309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.