FLORIDA HEART & VASCULAR MULTI SPECIALTY CLINIC (NPI# 1841592086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841592086 |
| Entity Type | Organization |
| Organization Name | FLORIDA HEART & VASCULAR MULTI SPECIALTY CLINIC |
| Practice Address |
4120 Corley Island Rd Suite 500 Leesburg FL 34748-8292 |
| Mailing Address |
511 Medical Plaza Dr Suite 101 Leesburg FL 34748-7326 |
| Practice Telephone | 3523266011 |
| Practice Fax Number | 3523266014 |
| Mailing Telephone | 3527686808 |
| Mailing Fax Number | 3527683637 |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |
| Authorized Official Name | JUNE K LEW (ADMINISTRATOR) |
| Authorized Official Telephone | 3527286808 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
4120 CORLEY ISLAND RD SUITE 500 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-8292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821081563 | Maria B Bello | Family Medicine | 4120 Corley Island Rd, Suite 500, Leesburg, FL 34748-8292 | 2005-08-29 |
| 1487919171 | Sarah Katherine Yoho | Physician Assistant | 4120 Corley Island Rd, Ste 600, Leesburg, FL 34748-8292 | 2012-07-09 |
| 1477684306 | Florida Heart & Vascular Multi Specialty Group, Pa | Family Medicine | 4120 Corley Island Rd, Suite 500, Leesburg, FL 34748 | 2007-03-09 |
| 1700828290 | Colleen Macinnis | Dermatology | 4120 Corley Island Rd, Suite 600, Leesburg, FL 34748-8292 | 2006-06-11 |
| 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 |
| Find all providers in zip 34748 | ||||
| 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 |
|---|---|---|---|---|
| 1063729846 | Steven J Nerad Md Pa | Internal Medicine | 8135 Centralia Ct, Ste 102, Leesburg, FL 34788-3758 | 2010-09-01 |
| 1952581985 | Louis Caruso Md Facc Pa | Internal Medicine | 1020 E North Blvd, Leesburg, FL 34748-5348 | 2007-11-07 |
| 1235161704 | George M Mathew Md Pa | Internal Medicine | 732 N Third Street, Leesburg, FL 34748 | 2006-07-07 |
| 1649236167 | Kenneth Appah Sampong | Internal Medicine | 709 Physician Ct, Leesburg, FL 34748-7357 | 2006-04-24 |
| 1770576100 | Sanjeev Bhatta | Internal Medicine | 803 E Dixie Ave, Leesburg, FL 34748-6013 | 2005-08-31 |
| 1932103272 | Jeffrey S. Luy | Internal Medicine | 44035 Riverside Pkwy, Ste 400, Leesburg, VA 20176-8260 | 2005-06-01 |
| 1427050699 | Walter L. Atiga | Internal Medicine | 44035 Riverside Pkwy Ste 400, Leesburg, VA 20176-8260 | 2005-06-01 |
| 1346243136 | Patrick Kevin Williams | Internal Medicine | 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 | 2005-05-24 |
| 1104242346 | Cardiac Specialty Institute LLC | Internal Medicine | 803 E Dixie Ave, Leesburg, FL 34748-6013 | 2014-03-12 |
| 1689019457 | Eric Davis Pauley | Internal Medicine | 44035 Riverside Pkwy Ste 400, Leesburg, VA 20176-8260 | 2013-05-07 |
| Find all providers in LEESBURG | ||||
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| 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.