Organization Active NPI

Florida Heart and Vascular Consultants PLLC

  • Cardiovascular Disease Physician
  • Hollywood, FL
National Provider Identifier
1780994467
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
FLORIDA HEART AND VASCULAR CONSULTANTS PLLC
Practice address
1150 N 35TH Ave
Suite # 240
Hollywood, FL 33021-5424
Phone
(954) 251-0733
Fax
(954) 251-0755
NPI assigned
Oct 15, 2010
Last updated
Nov 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Simone Fearon, MD
Title
Owner
Phone
(800) 406-4796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1150 N 35TH Ave
Suite # 240
Hollywood, FL 33021-5424

Mailing address

1150 N 35TH Ave
Suite # 240
Hollywood, FL 33021-5424
Phone (954) 251-0733

National Provider Directory

National Provider Directory

Locations

1150 N 35th Ave
Ste 240
Hollywood, FL 33021
Phone (954) 362-3426

17900 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 251-0733

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1780994467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE # 240",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-251-0733",
            "fax_number": "954-251-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE # 240",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-251-0733",
            "fax_number": "954-251-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEART AND VASCULAR CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "FEARON",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-406-4796",
        "authorized_official_credential": "MD"
    },
    "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 Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.