NPIMap

Organization Active NPI

Florida Heart & Vascular Multi Specialty Group PA

  • Emergency Medicine Physician
  • Leesburg, FL
National Provider Identifier
1427698661
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP PA
Practice address
27637 US Highway 27
Leesburg, FL 34748-9033
Phone
(352) 326-6001
NPI assigned
Jan 15, 2020
Organization subpart
Yes
Parent organization
FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Jackie Faunda
Title
Director of Operations
Phone
(352) 323-9501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

27637 US Highway 27
Leesburg, FL 34748-9033

Mailing address

511 Medical Plaza Dr
Leesburg, FL 34748-7326
Phone (352) 728-6808

Other names 1

  • FHV Health Urgent Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Florida Heart Vascular Group PA11 organizations share this tax ID, including this one
Part of
Florida Heart Vascular Group PA

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1427698661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MEDICAL PLAZA DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487326",
            "telephone_number": "352-728-6808",
            "fax_number": "352-728-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27637 US HIGHWAY 27",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347489033",
            "telephone_number": "352-326-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP PA",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "FAUNDA",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "352-323-9501"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHV Health Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.