FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA (NPI# 1295902377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295902377 |
| Entity Type | Organization |
| Organization Name | FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA |
| Practice Address |
1950 Laurel Manor Dr Suite 142 The Villages FL 32162-5603 |
| Mailing Address |
511 Medical Plaza Dr Suite 101 Leesburg FL 34748-7326 |
| Practice Telephone | 3523267850 |
| Practice Fax Number | 3522591605 |
| Mailing Telephone | 3527286808 |
| Mailing Fax Number | 3527283637 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | JACKIE FAUNDA (PHYSICIAN CREDENTIALING) |
| Authorized Official Telephone | 3527286808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAMSI | 7194953 | 01 | |
| RR PALMETTO GBA | CN9333 | 01 | |
| FL | BCBS OF FLORIDA | 21798 | 01 |
| MAILHANDLERS | 773114 | 01 | |
| TUFTS | 695956 | 01 |
| 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 |
| 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 |
| 1154453074 | Florida Heart & Vascular Multi Specialty Group, Pa | Family Medicine | 704 Doctors Ct, Leesburg, FL 34748-7314 | 2007-03-09 |
| 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 |
| Street Address |
1950 LAUREL MANOR DR SUITE 142 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213109 | Connie L Hartley | Nurse Practitioner | 1950 Laurel Manor Dr, Ste 224, The Villages, FL 32162-5602 | 2005-08-25 |
| 1841660495 | Angela Marie Boyazis-rodger | Chiropractor | 1950 Laurel Manor Dr, Ste. 204, The Villages, FL 32162-5603 | 2015-09-25 |
| 1609244136 | Arbor Medical Group, Pllc | Anesthesiology | 1950 Laurel Manor Dr, Building 200, Suite 206, The Villages, FL 32162-5603 | 2015-09-15 |
| 1124368675 | Stroke and Brain Specialists Pa | Psychiatry & Neurology | 1950 Laurel Manor Dr, Bldg 200 Ste 206, The Villages, FL 32162-5603 | 2013-02-20 |
| 1790079606 | Larry L Miller | Massage Therapist | 1950 Laurel Manor Dr, Suite 204, The Villages, FL 32162-5603 | 2011-06-08 |
| 1225340037 | Patrick Alger | Anesthesiology | 1950 Laurel Manor Dr, Building 200, Suite 206, The Villages, FL 32162-5603 | 2010-07-08 |
| 1033430921 | John C Theeck Dc Pa | Chiropractor | 1950 Laurel Manor Dr, Suite 204, The Villages, FL 32162-5603 | 2010-06-15 |
| 1104144419 | Sumanth Padmanabh | Internal Medicine | 1950 Laurel Manor Dr, Building 200, Suite 206, The Villages, FL 32162-5603 | 2010-05-11 |
| 1427384494 | John C Theeck | Chiropractor | 1950 Laurel Manor Dr, Building 200, Suite 204, The Villages, FL 32162-5603 | 2009-10-27 |
| 1447433990 | N Yelamanchi Md Pa | Clinic/Center | 1950 Laurel Manor Dr, Suite 172, The Villages, FL 32162-5603 | 2007-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659671774 | Heart of The Villages Plc | Internal Medicine | 1149 Main Street, The Villages, FL 32159 | 2010-10-22 |
| 1710952486 | Georg Josef Couturier | Internal Medicine | 8575 Ne 138th Ln Ste 203, The Villages, FL 32159-8996 | 2006-02-17 |
| 1811983083 | Mark A Rothschild | Internal Medicine | 910 Old Camp Rd Ste 210, The Villages, FL 32162 | 2005-09-23 |
| 1215930334 | Robert Alan Skotnicki | Internal Medicine | 1400 N Us Highway 441, Suite 810, The Villages, FL 32159-8975 | 2005-05-23 |
| 1538456256 | Hassan Baydoun | Internal Medicine | 1050 Old Camp Rd Ste 270, The Villages, FL 32162 | 2011-07-01 |
| 1851625164 | Visali Kodali | Internal Medicine | 910 Old Camp Rd Ste 210, The Villages, FL 32162-5605 | 2009-09-21 |
| 1891996880 | Vinod R Miryala | Internal Medicine | 910 Old Camp Rd, Bldg 210, The Villages, FL 32162-5604 | 2007-05-29 |
| 1750492195 | Shrikanth Upadya | Internal Medicine | 1050 Old Camp Rd, Ste 270, The Villages, FL 32162-1762 | 2006-08-31 |
| 1760493563 | Robert L Herman | Internal Medicine | 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 | 2006-08-10 |
| 1609847276 | Robert I Kersh | Internal Medicine | 1400 N Us Highway 441, Suite 810, The Villages, FL 32159-8975 | 2006-01-31 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
Please comment or provide details below to improve the information on FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA.
| 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.