Organization Active NPI

Cardiovascular Institute of Central Florida, LLC

  • Specialist
  • Ocala, FL
National Provider Identifier
1679666598
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARDIOVASCULAR INSTITUTE OF CENTRAL FLORIDA, LLC
Practice address
2111 SW 20TH Place
Ocala, FL 34471
Phone
(352) 622-4251
Fax
(352) 873-3920
NPI assigned
Oct 2, 2006
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Rey Estevan
Title
Credentialing Manager
Phone
(352) 622-4251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FL Primary

Addresses

Primary practice location

2111 SW 20TH Place
Ocala, FL 34471

Mailing address

2111 SW 20TH Place
Ocala, FL 34471
Phone (352) 622-4251

Other identifiers 1

IdentifierTypeStateIssuer
AB528OtherMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070412000560 FL Part B Supplier - Clinic/Group Practice 2769587146 Receives reassigned benefits from 96 practitioners
Practice locations: Orlando, FL; Ocoee, FL; Oviedo, FL; Sanford, FL; Tavares, FL; Winter Garden, FL; Clermont, FL; Kissimmee, FL…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1381 Citrus Tower Blvd
Clermont, FL 34711
Phone (731) 313-0998

1381 Citrus Tower Blvd
Ste 101
Clermont, FL 34711
Phone (352) 241-4900

2100 Hooks St
Clermont, FL 34711

207 Park Place Blvd
Ste 3
Kissimmee, FL 34741
Phone (402) 870-5050

121 Lagrande Blvd
Lady Lake, FL 32159
Phone (352) 259-5960

795 Primera Blvd
Lake Mary, FL 32746

795 Primera Blvd
Ste 1021
Lake Mary, FL 32746

1711 Amazing Way
Ste 206207
Ocoee, FL 34761

1711 Amazing Way
Ste 207
Ocoee, FL 34761

1723 Lucerne Ter
Ste 100
Orlando, FL 32806

2859 Delaney Ave
Orlando, FL 32806
Phone (407) 843-1620

6424 Alexandra Louise Dr
Ste 480
Orlando, FL 32827

7483 Sandlake Commons Blvd
Ste 100
Orlando, FL 32819

9430 Turkey Lake Rd
Ste 116
Orlando, FL 32819

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 107

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.

View all 107

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1679666598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SW 20TH PLACE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-622-4251",
            "fax_number": "352-873-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SW 20TH PLACE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-622-4251",
            "fax_number": "352-873-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR INSTITUTE OF CENTRAL FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "ESTEVAN",
        "authorized_official_first_name": "REY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "352-622-4251"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "AB528",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.