FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA (NPI# 1235332776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235332776 |
| Entity Type | Organization |
| Organization Name | FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA |
| Other Organization Name | CENTRAL FLORIDA ASSOCIATED PRIMARY CARE PHYSICIANS |
| Practice Address |
101 S 11th St Suite 4 Leesburg FL 34748-5767 |
| Mailing Address |
511 Medical Plaza Dr Suite 101 Leesburg FL 34748-7326 |
| Practice Telephone | 3527878301 |
| Practice Fax Number | 3527878301 |
| Mailing Telephone | 3527286808 |
| Mailing Fax Number | 3527281751 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-03-21 |
| Authorized Official Name | JUNE K LEW (ADMINISTRATOR) |
| Authorized Official Telephone | 3527286808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR/PALMETTO/GBA | P00390402 | 01 |
| FL | BC/BS OF FLORIDA | 09277 | 01 |
| Other Name | Type Code |
|---|---|
| Central Florida Associated Primary Care Physicians | Doing Business As Name - Organization |
| 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 |
| 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 |
101 S 11TH ST SUITE 4 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-5767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144245564 | Shirley Smith | Psychologist | 101 S 11th St, Suite 1, Leesburg, FL 34748-5767 | 2006-07-13 |
| 1083945935 | Lakeview Internal Medicine P.a. | Family Medicine | 101 S 11th St, Suite 4, Leesburg, FL 34748-5767 | 2010-01-15 |
| 1659591568 | Coburn A. Marston, Pt | Clinic/Center | 101 S 11th St, Suite 3, Leesburg, FL 34748-5767 | 2007-04-26 |
| 1073521803 | Central Florida Associated Primary Care Physicians, Pa | Family Medicine | 101 S 11th St, Suite 4, Leesburg, FL 34748-5767 | 2006-08-04 |
| 1376564526 | Coburn Arthur Marston | Physical Therapist | 101 S 11th St, Suite 3, Leesburg, FL 34748-5767 | 2006-07-22 |
| 1346261104 | Kathleen Jones-shupe | Nurse Practitioner | 101 S 11th St, Suite1, Leesburg, FL 34748-5767 | 2006-07-21 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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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| 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 |
| 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.