NPIMap

Organization Active NPI

Advanced Heart Center LLC

  • Cardiovascular Disease Physician
  • Fort Myers, FL
National Provider Identifier
1649293523
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ADVANCED HEART CENTER LLC
Practice address
14051 Metropolis Ave
Fort Myers, FL 33912-4330
Phone
(239) 334-7177
Fax
(239) 425-6521
NPI assigned
Jul 25, 2006
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Mikki Smallwood
Title
Office Manager
Phone
(239) 334-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X FL Primary

Addresses

Primary practice location

14051 Metropolis Ave
Fort Myers, FL 33912-4330

Mailing address

14051 Metropolis Ave
Fort Myers, FL 33912-4330
Phone (239) 334-7177

National Provider Directory

National Provider Directory

Locations

14051 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 334-7177

6100 Winkler Rd
Ste D
Fort Myers, FL 33919
Phone (239) 334-7177

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1649293523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14051 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124330",
            "telephone_number": "239-334-7177",
            "fax_number": "239-425-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14051 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124330",
            "telephone_number": "239-334-7177",
            "fax_number": "239-425-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEART CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "SMALLWOOD",
        "authorized_official_first_name": "MIKKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-334-7177"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.