Active NPI
Cardiovascular Consultants Group LLC
- Cardiovascular Disease Physician
- Kissimmee, FL
National Provider Identifier
1568600930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME95512
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 DirectoryLocations
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.
-
- Infectious Disease Physician
- Kissimmee, FL
- NPI 1396794186
-
- Internal Medicine Physician
- Saint Cloud, FL
- NPI 1922101369
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.