Organization Active NPI

Cardiovascular Consultants Group LLC

  • Cardiovascular Disease Physician
  • Kissimmee, FL
National Provider Identifier
1568600930
Registry record updated Sep 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME95512 Issued in FL
Legal business name
CARDIOVASCULAR CONSULTANTS GROUP LLC
Practice address
3223 Hillsdale LN
Kissimmee, FL 34741-7561
Phone
(407) 201-4490
NPI assigned
Jan 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2018

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

Authorized official

Name
Imran Bawaney
Title
Sole Owner
Phone
(407) 749-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME95512 FL Primary

Addresses

Primary practice location

3223 Hillsdale LN
Kissimmee, FL 34741-7561

Mailing address

PO Box 690656
Orlando, FL 32869-0656
Phone (407) 749-2289

National Provider Directory

National Provider Directory

Locations

1118 Pennsylvania Ave
Saint Cloud, FL 34769
Phone (407) 892-3313

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538265600000",
    "number": "1568600930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690656",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328690656",
            "telephone_number": "407-749-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 HILLSDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417561",
            "telephone_number": "407-201-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2018-09-30",
        "status": "A",
        "authorized_official_last_name": "BAWANEY",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "407-749-2289"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME95512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2018; 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.