NPIMap

Organization Active NPI

Florida Coastal Cardiology P a

  • Cardiovascular Disease Physician
  • Apalachicola, FL
National Provider Identifier
1922025782
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
FLORIDA COASTAL CARDIOLOGY P A
Practice address
74 16TH St
Apalachicola, FL 32320-2064
Phone
(850) 653-4134
Fax
(850) 653-4135
NPI assigned
Jul 17, 2006
Last updated
Mar 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Shezad Sanaullah, M.D.NPI 1679590426
Title
Owner
Phone
(850) 653-4134

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 Physician 207RC0000X Primary

Addresses

Primary practice location

74 16TH St
Apalachicola, FL 32320-2064

Mailing address

7100 Hollywood Blvd
Suite 23
Pembroke Pines, FL 33024-7355
Phone (954) 967-0107

National Provider Directory

National Provider Directory

Locations

230 E Crawford St
Quincy, FL 32351
Phone (850) 627-4327

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1922025782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 HOLLYWOOD BLVD",
            "address_2": "SUITE 23",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330247355",
            "telephone_number": "954-967-0107",
            "fax_number": "954-967-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 16TH ST",
            "city": "APALACHICOLA",
            "state": "FL",
            "postal_code": "323202064",
            "telephone_number": "850-653-4134",
            "fax_number": "850-653-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA COASTAL CARDIOLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "SANAULLAH",
        "authorized_official_first_name": "SHEZAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-653-4134",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apalachicola, FL

Sources for this page

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

Verify at the official NPI Registry.