The Heart Center of Palm Coast, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

THE HEART CENTER OF PALM COAST, LLC

Practice address

61 Memorial Medical Pkwy Ste 3816
Palm Coast, FL 32164-5982

Phone

(832) 264-3744

NPI assigned

Mar 21, 2022

Last updated

Dec 7, 2022By 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

Amit Nanavati, MDNPI 1932373479

Title

Manager/Owner

Phone

(386) 586-1720

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFDHCD

Practitioners 6

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.

• Amit Nanavati, MD

  • Interventional Cardiology Physician
  • Palm Coast, FL
  • NPI 1932373479
  Medicare reassignment Care Compare group NPD Authorized official
• Beeravolu Ramesh Reddy, MD

  • Interventional Cardiology Physician
  • Port Huron, MI
  • NPI 1679534135

  FL

  Medicare reassignment Care Compare group NPD
• Traci Serrano, APRN

  • Nurse Practitioner
  • Palm Coast, FL
  • NPI 1063054468

  Cardiovascular Disease

  Medicare reassignment NPD
• Melchor Gonzalez, M.D.

  • Specialist
  • Palm Coast, FL
  • NPI 1902806151
  NPD (past)
• Nathaniel L Valin, M.D.

  • Cardiovascular Disease Physician
  • Daytona Beach, FL
  • NPI 1588646616
  NPD (past)
• Larry Jose Diaz, MD

  • Cardiovascular Disease Physician
  • Wyoming, MI
  • NPI 1952301038
  NPD (past)

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1437808029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY STE 3816",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645982",
            "telephone_number": "386-586-1720",
            "fax_number": "386-586-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY STE 3816",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645982",
            "telephone_number": "832-264-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Cypress Edge Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321648454",
            "country_code": "US",
            "telephone_number": "832-264-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE HEART CENTER OF PALM COAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "NANAVATI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "386-586-1720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briahna Danielle Taylor
• Jacqueline Marie Taylor, LMHC
• Joseph Taylor
• Katherine E Taylor
• The Footwear Company LLC
• The Jacob Dental Group Inc
• Karen Christiane Theilade, MD
• Therapeutic Assisted Living Corp.
• Burton W Thomas III, CAP
• Melony Kay Thomas, D.C.

• Cardiovascular Disease Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.