Organization Active NPI

Aventura Heart Center, LLC

  • Specialist
  • Aventura, FL
National Provider Identifier
1619952223
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AVENTURA HEART CENTER, LLC
Practice address
2845 Aventura Blvd
Ste 249
Aventura, FL 33180-3118
Phone
(305) 932-6061
Fax
(305) 932-6717
NPI assigned
Dec 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David J Korn, MD
Title
President
Phone
(305) 932-6061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X FL Primary

Addresses

Primary practice location

2845 Aventura Blvd
Ste 249
Aventura, FL 33180-3118

Mailing address

2845 Aventura Blvd
Ste 249
Aventura, FL 33180-3118
Phone (305) 932-6061

Other identifiers 1

IdentifierTypeStateIssuer
258125600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619952223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD",
            "address_2": "STE 249",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803118",
            "telephone_number": "305-932-6061",
            "fax_number": "305-932-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD",
            "address_2": "STE 249",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803118",
            "telephone_number": "305-932-6061",
            "fax_number": "305-932-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA HEART CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KORN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-932-6061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258125600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.