Florida Heart Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0016884 Issued in FL

Legal business name

FLORIDA HEART GROUP

Practice address

1613 N Mills Ave
Orlando, FL 32803-1849

Phone

(407) 894-4474

Fax

(407) 894-7136

NPI assigned

Jun 28, 2005

Last updated

Dec 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joan Bryan

Title

Administrator

Phone

(407) 894-4474

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1932105558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031849",
            "telephone_number": "407-894-4474",
            "fax_number": "407-894-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031849",
            "telephone_number": "407-894-4474",
            "fax_number": "407-894-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEART GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-894-4474",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0016884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5019744",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRR",
            "identifier": "CI0696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Eye Clinic P a
• Florida Family Physicians
• Florida Foot Care, LLC
• Florida Health Care of Orlando PA
• Florida Heart Group
• Florida Hematology & Oncology Specialists PA
• Florida Home & Wound Care, PLLC
• Florida Home Care Inc
• Florida Home Health Equipment and Supplies Inc
• Florida Home Health Equipment and Supplies, Inc

• Cardiovascular Disease Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.