Organization Active NPI

Central Florida Cardiovascular Consultants

  • Cardiovascular Disease Physician
  • Orange City, FL
National Provider Identifier
1871687996
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME74681 Issued in FL
Legal business name
CENTRAL FLORIDA CARDIOVASCULAR CONSULTANTS
Practice address
759 Harley Strickland Blvd
Orange City, FL 32763-7954
Phone
(386) 456-0300
Fax
(386) 456-0303
NPI assigned
Oct 3, 2006
Last updated
Oct 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Christine Cardona
Title
Insurance
Phone
(386) 456-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME74681 FL Primary

Addresses

Primary practice location

759 Harley Strickland Blvd
Orange City, FL 32763-7954

Mailing address

PO Box 850001
Orlando, FL 32885-0168
Phone (386) 456-0300

Other identifiers 1

IdentifierTypeStateIssuer
257333400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000288 FL Part B Supplier - Clinic/Group Practice 3870489495 Receives reassigned benefits from 13 practitioners
Practice locations: Lake Mary, FL; Orange City, FL

National Provider Directory

National Provider Directory

Locations

1319 S International Pkwy
Lake Mary, FL 32746

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HADDAA

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1871687996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850168",
            "telephone_number": "386-456-0300",
            "fax_number": "386-456-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 HARLEY STRICKLAND BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637954",
            "telephone_number": "386-456-0300",
            "fax_number": "386-456-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA CARDIOVASCULAR CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "386-456-0300"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME74681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257333400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.

Verify at the official NPI Registry.