NPIMap

Organization Active NPI

Angelheart LLC

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1982984134
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7077 Issued in FL
Legal business name
ANGELHEART LLC
Practice address
3004 Seasons Boulivard
Sarasota, FL 34240
Phone
(941) 894-7429
NPI assigned
Aug 19, 2011
Organization subpart
Yes
Parent organization
ANGELHEART LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Mr. Jeffrey S Lyons, DO
Title
Medical Director
Phone
(941) 894-7429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS7077 FL Primary

Addresses

Primary practice location

3004 Seasons Boulivard
Sarasota, FL 34240

Mailing address

3004 Seasons Blvd
Sarasota, FL 34240-8230

Other names 1

  • ANGELHEART LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Angelheart LLC

Locations

8A N Lawn Ave
Elmsford, NY 10523
Phone (347) 422-3934

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1982984134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 SEASONS BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 SEASONS BOULIVARD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34240",
            "telephone_number": "941-894-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELHEART LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGELHEART LLC",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-894-7429",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGELHEART LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.