Active NPI
Heart of Florida OB/GYN Associates PA
- Specialist
- Davenport, FL
National Provider Identifier
1790871028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- HEART OF FLORIDA OB/GYN ASSOCIATES PA
- Practice address
- 2221 North Blvd W
Davenport, FL 33837-8990 - Phone
- (863) 421-7600
- Fax
- (863) 421-7551
- NPI assigned
- Oct 5, 2006
- Last updated
- Nov 14, 2013
- 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
- Marci Kay Harris
- Title
- Offc MGR
- Phone
- (863) 421-7600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2221 North Blvd W
Davenport, FL 33837-8990
Mailing address
PO Box 667
Davenport, FL 33836-0667
Phone (863) 421-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258034900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2221 North Blvd W
Davenport, FL 33837
Phone (863) 421-7600
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Advanced Practice Midwife
- Davenport, FL
- NPI 1962698233
-
- Nurse Practitioner
- Fairbanks, AK
- NPI 1720034556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384387200000",
"number": "1790871028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 667",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338360667",
"telephone_number": "863-421-7600",
"fax_number": "863-421-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 NORTH BLVD W",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338378990",
"telephone_number": "863-421-7600",
"fax_number": "863-421-7551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART OF FLORIDA OB/GYN ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2013-11-14",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "MARCI",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OFFC MGR",
"authorized_official_telephone_number": "863-421-7600"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258034900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
- HC Davenport DME, Inc
- Healing and Compassionate Care LLC
- Health Holdings Company LLC (Palm Medical Centers Davenport)
- Heart & Vascular Institute of Florida PLC
- Heart of Florida Diabetes and Endocrine LLC
- Heart of Florida Surgery Center LLC
- Heavenly Hands Companion & Home Care Services LLC
- Heavenly Hands Healthcare LLC
- Laura K Heffernan, MA, LCPC, LMHC
- Helping & Serving Transportation LLC (Helping & Serving Transportation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.