Active NPI
Cardiology Associates of Polk County
- Specialist
- Lakeland, FL
National Provider Identifier
1861693616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME87246
- Legal business name
- CARDIOLOGY ASSOCIATES OF POLK COUNTY
- Practice address
- 1417 Lakeland Hills Blvd
Suite 106
Lakeland, FL 33805-3200 - Phone
- (863) 682-8401
- Fax
- (863) 802-9611
- NPI assigned
- May 30, 2007
- 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
- Susan Talit
- Title
- Office Manager
- Phone
- (863) 682-8401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME87246 | FL | Primary |
Addresses
Primary practice location
1417 Lakeland Hills Blvd
Suite 106
Lakeland, FL 33805-3200
Mailing address
PO Box 93254
Lakeland, FL 33804-3254
Phone (863) 682-8401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062994400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1417 Lakeland Hills Blvd
Ste 106
Lakeland, FL 33805
Phone (863) 682-8401
1305 Lakeland Hills Blvd
Ste 101
Lakeland, FL 33805
Phone (863) 682-8401
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Brandon, FL
- NPI 1134156458
-
- Cardiovascular Disease Physician
- Lakeland, FL
- NPI 1982816922
-
- Interventional Cardiology Physician
- Orlando, FL
- NPI 1588623334
-
- Cardiovascular Disease Physician
- Winchester, TN
- NPI 1316974637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238976000000",
"number": "1861693616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93254",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338043254",
"telephone_number": "863-682-8401",
"fax_number": "863-802-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 LAKELAND HILLS BLVD",
"address_2": "SUITE 106",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053200",
"telephone_number": "863-682-8401",
"fax_number": "863-802-9611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOLOGY ASSOCIATES OF POLK COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2009-04-06",
"status": "A",
"authorized_official_last_name": "TALIT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "863-682-8401"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME87246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062994400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.