NPIMap

Organization Active NPI

Florida Heart & Vascular Multi Specialty Clinic

  • Cardiovascular Disease Physician
  • Leesburg, FL
National Provider Identifier
1841592086
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
FLORIDA HEART & VASCULAR MULTI SPECIALTY CLINIC
Practice address
4120 Corley Island Rd
Suite 500
Leesburg, FL 34748-8292
Phone
(352) 326-6011
Fax
(352) 326-6014
NPI assigned
Nov 19, 2010
Organization subpart
Yes
Parent organization
FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
June K Lew
Title
Administrator
Phone
(352) 728-6808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4120 Corley Island Rd
Suite 500
Leesburg, FL 34748-8292

Mailing address

511 Medical Plaza Dr
Suite 101
Leesburg, FL 34748-7326
Phone (352) 768-6808

National Provider Directory

National Provider Directory
Tax ID family
Starx Pharmacy Inc3 organizations share this tax ID, including this one
Part of
Starx Pharmacy Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4120 Corley Island Rd
Ste 500
Leesburg, FL 34748
Phone (352) 326-6011

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1841592086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MEDICAL PLAZA DR",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487326",
            "telephone_number": "352-768-6808",
            "fax_number": "352-768-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 CORLEY ISLAND RD",
            "address_2": "SUITE 500",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347488292",
            "telephone_number": "352-326-6011",
            "fax_number": "352-326-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEART & VASCULAR MULTI SPECIALTY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-728-6808"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.