Organization Active NPI

Cardiovascular Specialists of South Florida

  • Cardiovascular Disease Physician
  • Davie, FL
National Provider Identifier
1922012087
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR SPECIALISTS OF SOUTH FLORIDA
Practice address
10650 W State Road 84
Suite 104
Davie, FL 33324-4235
Phone
(954) 382-1550
Fax
(954) 382-1250
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Mark G Sabbota, DONPI 1346256526
Title
Owner
Phone
(954) 382-1550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10650 W State Road 84
Suite 104
Davie, FL 33324-4235

Mailing address

10650 W State Road 84
Suite 104
Davie, FL 33324-4235
Phone (954) 382-1550

Other identifiers 1

IdentifierTypeStateIssuer
269718100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001598 FL Part B Supplier - Clinic/Group Practice 2668443144 Receives reassigned benefits from 11 practitioners
Practice locations: Plantation, FL; Stuart, FL; Pembroke Pines, FL; Miramar, FL; Hollywood, FL; Lake Worth Beach, FL; Davie, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1036192Cardiovascular Specialists of South Florida10650 W State Rd 84 Ste 104, Davie, FL 33324Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory

Locations

1926 10th Ave N
Ste 405
Lake Worth Beach, FL 33461
Phone (844) 487-8346

10025 Cleary Blvd
Plantation, FL 33324
Phone (954) 382-1550

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1922012087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 W STATE ROAD 84",
            "address_2": "SUITE 104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244235",
            "telephone_number": "954-382-1550",
            "fax_number": "954-382-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 W STATE ROAD 84",
            "address_2": "SUITE 104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244235",
            "telephone_number": "954-382-1550",
            "fax_number": "954-382-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALISTS OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "SABBOTA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-382-1550",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269718100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.