FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA


Address: 802 E Dixie Ave, Leesburg, FL 34748-6014
Phone: 3527286808

FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA (NPI# 1598016362) 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) 1598016362
Entity Type Organization
Organization Name FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA
Practice Address 802 E Dixie Ave
Leesburg
FL 34748-6014
Mailing Address 511 Medical Plaza Dr
Suite 101
Leesburg
FL 34748-7326
Practice Telephone 3527286808
Practice Fax Number 3527281743
Mailing Telephone 3527286808
Mailing Fax Number 3527281743
Enumeration Date 2012-09-19
Last Update Date 2013-04-01
Authorized Official Name JUNE LEW (TREASURER/CFO)
Authorized Official Telephone 3527286808
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2300X Clinic/Center
Specialization: Primary Care
ME 108692 FL Ambulatory Health Care Facilities
N 207RN0300X Internal Medicine
Specialization: Nephrology
ME 108692 FL Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine ME108692 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS 14JE3 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
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

Office Location

Street Address 802 E DIXIE AVE
City LEESBURG
State FL
Zip Code 34748-6014

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477559060 Larry D Foster Family Medicine 802 E Dixie Ave, Leesburg, FL 34748-6014 2005-06-28
1063814630 Starx Pharmacy Pharmacy 802 E Dixie Ave, Leesburg, FL 34748-6014 2014-09-25
1104127059 Renee Gabriel Williams Registered Nurse 802 E Dixie Ave, Leesburg, FL 34748-6014 2010-11-09
1669669016 Victor M Lugo Family Medicine 802 E Dixie Ave, Leesburg, FL 34748-6014 2007-10-01
1437281102 Florida Heart & Vascular Multi Specialty Group, Pa Family Medicine 802 E Dixie Ave, Leesburg, FL 34748-6014 2007-03-09
1245252048 Michael Francis Mcginnity Physician Assistant 802 E Dixie Ave, Leesburg, FL 34748-6014 2006-07-24
1669493599 Mirta B Cura-lukich Specialist 802 E Dixie Ave, Leesburg, FL 34748-6014 2006-07-23
1467418319 Leesburg Family Medicine Legal Medicine 802 E Dixie Ave, Leesburg, FL 34748-6014 2006-04-20
1790781391 Jeffrey Robinson Family Medicine 802 E Dixie Ave, Leesburg, FL 34748-6014 2005-06-28

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033679063 Warren Joseph Marion Internal Medicine 38483 Forest Mills Rd, Leesburg, VA 20175 2019-03-25
1881197903 Physician Associates LLC Internal Medicine 22316 Us Highway 27, Leesburg, FL 34748 2018-03-15
1124472873 Adam Hines Internal Medicine 22381 Aging Oak Dr, Leesburg, VA 20175-4836 2016-04-19
1154714301 Mid-atlantic Health Service Providers Internal Medicine 43713 Red House Dr, Leesburg, VA 20176-1628 2015-03-12
1104251370 Mid-florida Primary Care Pa Internal Medicine 501 North Blvd West, Leesburg, FL 34748 2013-09-06
1013359975 Lake Internal Medicine Pa Internal Medicine 293 Bent Oak Ct, Leesburg, FL 34748-9559 2013-07-20
1699069898 Sepehr Mesdaghinia Internal Medicine 821 S King St Ste L, Leesburg, VA 20175-3922 2011-06-06
1003115098 Amir Hesam Etemadnia Internal Medicine 1004 N 14th St, Leesburg, FL 34748-3850 2011-03-16
1518285139 Sheyla Zelaya-aragon Internal Medicine 33049 Professional Dr Ste 103, Leesburg, FL 34788-3705 2010-05-06
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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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