FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA


Address: 704 Doctors Ct, Leesburg, FL 34748-7314
Phone: 3523267850

FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA (NPI# 1154453074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154453074
Entity Type Organization
Organization Name FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA
Other Organization Name FREDRIC M. DAVIS,DO
Practice Address 704 Doctors Ct
Leesburg
FL 34748-7314
Mailing Address 511 Medical Plaza Dr
Leesburg
FL 34748-7326
Practice Telephone 3523267850
Mailing Telephone 3527286808
Mailing Fax Number 3527281751
Enumeration Date 2007-03-09
Last Update Date 2020-08-22
Authorized Official Name REGINA INGRAM (ADMINISTRATOR)
Authorized Official Telephone 3527286808
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Fredric M. Davis,DO Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1598016362 Florida Heart & Vascular Multi Specialty Group, Pa Clinic/Center 802 E Dixie Ave, Leesburg, FL 34748-6014 2012-09-19
1295902377 Florida Heart & Vascular Multi Specialty Group, Pa Family Medicine 1950 Laurel Manor Dr, Suite 142, The Villages, FL 32162-5603 2008-05-08
1578766119 Florida Heart & Vascular Multi Specialty Group, Pa Family Medicine 26540 Ace Ave, Suite 108, Leesburg, FL 34748-8279 2007-06-11
1235332776 Florida Heart & Vascular Multi Specialty Group, Pa Family Medicine 101 S 11th St, Suite 4, Leesburg, FL 34748-5767 2007-06-11
1588780530 Florida Heart & Vascular Multi Specialty Group, Pa Internal Medicine 1560 Santa Barbara Blvd, Lady Lake, FL 32159 2007-03-21
1477684306 Florida Heart & Vascular Multi Specialty Group, Pa Family Medicine 4120 Corley Island Rd, Suite 500, Leesburg, FL 34748 2007-03-09
1437281102 Florida Heart & Vascular Multi Specialty Group, Pa Family Medicine 802 E Dixie Ave, Leesburg, FL 34748-6014 2007-03-09
1457482598 Florida Heart & Vascular Multi Specialty Group, Pa Family Medicine 601 E Dixie Ave, Suite 805, Leesburg, FL 34748-5953 2007-03-08

Office Location

Street Address 704 DOCTORS CT
City LEESBURG
State FL
Zip Code 34748-7314

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083680391 Michael G Hill Specialist 704 Doctors Ct, Suite 101, Leesburg, FL 34748-7314 2006-02-27
1275822983 All Coast Therapy Services Outpatient Inc Physical Therapist 704 Doctors Ct, Leesburg, FL 34748-7366 2011-04-04
1831369792 Lake County Neurosurgicaland Spinal Institute Neurological Surgery 704 Doctors Ct, Suite 101, Leesburg, FL 34748-7366 2008-03-07
1073565909 Diagnostic Outpatient Centers II Inc Clinic/Center 704 Doctors Ct, Leesburg, FL 34748-7314 2006-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437610243 Ashley Shamsa Martin Behavior Technician 292 Bent Oak Ct, Leesburg, FL 34748 2019-03-26
1891278875 Luis O Aponte Mendoza Physician Assistant 704 Doctors Ct., Suite 101, Leesburg, FL 34748 2018-09-14
1881197903 Physician Associates LLC Internal Medicine 22316 Us Highway 27, Leesburg, FL 34748 2018-03-15
1184136145 Infinite Support Services LLC In Home Supportive Care 129 Grove Ridge Circle, 104, Leesburg, FL 34748 2017-10-31
1619403037 Massage and Wellness Care Health Maintenance Organization 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 2017-05-04
1497202675 Prime Radiology of Leesburg Inc Radiology 600 N W Blvd, Suite E, Leesburg, FL 34748 2016-09-06
1023480332 Juanita Elizabeth Simpson Contractor 1911 Harcourt Drive, Leesburg, FL 34748 2015-10-26
1467835900 Serenity Choice Place, LLC Community/Behavioral Health 721 Balmoral Circle, Leesburg, FL 34748 2015-07-01
1356738397 Touching Heart's Group Homes, LLC Community/Behavioral Health 31809 Sunpark Cir, Leesburg, FL 34748 2015-04-16
1386035269 Adventist Health System/sunbelt, Inc. Clinic/Center 1103 N 14th Street, Leesburg, FL 34748 2015-02-12
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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1306443684 Montage Health and Wellness Corp Family Medicine 305 E Market St Ste O, Leesburg, VA 20176-4169 2020-10-08
1902325608 Loudoun Medical Group, P.C. Family Medicine 224d Cornwall St Nw Ste 102, Leesburg, VA 20176-2700 2017-09-13
1912352741 Jessica Omodele Wright Family Medicine 51 Catocin Cir Ne, Leesburg, VA 20176-3100 2016-04-29
1528491156 Carehere LLC Family Medicine 1908 Center St, Leesburg, FL 34748-4812 2013-08-19
1992049654 Jan Julius Brandt Family Medicine 14682 Chapel Ln, Leesburg, VA 20176-5276 2012-11-19
1447523493 Pablo Doldy Cardona Family Medicine 26540 Ace Ave Ste 108c, Leesburg, FL 34748-8279 2012-02-21
1245518638 Yashel Wedderburn Landell Family Medicine 8113 Centralia Ct Ste 102, Leesburg, FL 34788-7521 2011-08-02
1851608053 Rolando J Menendez Md Pa Family Medicine 733 N 3rd St, Leesburg, FL 34748-4441 2010-09-09
1922291848 William Joseph Briglia Sr. Family Medicine 4293 Rt 47, Medical Dept Bayside State Prison, Leesburg, NJ 08327 2007-08-23
1376636134 Yoyen Lau Family Medicine 280 Industrial Blvd, Leesburg, AL 35983 2006-10-02
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Competitor

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City LEESBURG
Zip Code 34748

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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