Amelia Institute of Cardiology and Medicine

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME18615 Issued in FL

Legal business name

AMELIA INSTITUTE OF CARDIOLOGY AND MEDICINE

Practice address

2334 S 8TH St
Fernandina Beach, FL 32034-1979

Phone

(904) 261-6135

Fax

(904) 261-9998

NPI assigned

Sep 13, 2007

Last updated

Sep 24, 2007By 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

Dr. Farid Ullah, MD

Title

President

Phone

(904) 261-6135

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Beverly Lynn Michael, PA-C

  • Medical Physician Assistant
  • Fernandina Beach, FL
  • NPI 1588813562
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1629263496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 S 8TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341979",
            "telephone_number": "904-261-6135",
            "fax_number": "904-261-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 S 8TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341979",
            "telephone_number": "904-261-6135",
            "fax_number": "904-261-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA INSTITUTE OF CARDIOLOGY AND MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "ULLAH",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-261-6135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME18615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Dental Group, PLLC
• Amelia Express Care, LLC
• Amelia Express Care, LLC
• Amelia Eye Associates LLC
• Amelia Gentle Dentistry, LLC
• Amelia Internal Medicine,P.a.
• Amelia Island Anesthesia LLC
• Amelia Island Doctors of Optometry
• Amelia Island Ekg Associates, PA
• Amelia Island Foot & Ankle PA (Amelia Island Foot & Ankle)

• Cardiovascular Disease Physician in Fernandina Beach, FL
• Providers in Fernandina Beach, 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 Sep 24, 2007; 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.