Active NPI
Florence Heart and Endovascular Center, LLC
- Cardiovascular Disease Physician
- Florence, AL
National Provider Identifier
1710697982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- FLORENCE HEART AND ENDOVASCULAR CENTER, LLC
- Practice address
- 620 Sam Phillips St
Florence, AL 35630-5859 - Phone
- (256) 415-8567
- Fax
- (256) 284-7797
- NPI assigned
- Nov 29, 2022
- 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
- Paul Morris, DO
- Title
- Owner
- Phone
- (256) 415-8567
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
620 Sam Phillips St
Florence, AL 35630-5859
Mailing address
620 Sam Phillips St
Florence, AL 35630-5859
Phone (256) 415-8567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
620 Sam Phillips St
Florence, AL 35630
Phone (256) 415-8567
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Florence, AL
- NPI 1396765095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669680000000",
"number": "1710697982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 SAM PHILLIPS ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305859",
"telephone_number": "256-415-8567",
"fax_number": "256-284-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SAM PHILLIPS ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305859",
"telephone_number": "256-415-8567",
"fax_number": "256-284-7797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORENCE HEART AND ENDOVASCULAR CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-29",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-415-8567",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.