FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP PA (NPI# 1427698661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427698661 |
| Entity Type | Organization |
| Organization Name | FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP PA |
| Practice Address |
27637 Us Highway 27 Leesburg FL 34748-9033 |
| Mailing Address |
511 Medical Plaza Dr Leesburg FL 34748-7326 |
| Practice Telephone | 3523266001 |
| Mailing Telephone | 3527286808 |
| Mailing Fax Number | 3527281743 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | JACKIE FAUNDA (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3523239501 |
| 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 | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FHV Health Urgent Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699769042 | Florida Heart & Vascular Multi Specialty Group Pa | Surgery | 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 | 2005-08-31 |
| Street Address |
27637 US HIGHWAY 27 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-9033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553827 | Angela L Tatro | Nurse Practitioner | 27637 Us Highway 27, Leesburg, FL 34748-9033 | 2019-02-04 |
| 1205493327 | Bobbi Rhae Armbruster | Family Medicine | 27637 Us Highway 27, Leesburg, FL 34748 | 2019-05-23 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760870257 | Rebecca Robinson Brabender | Emergency Medicine | 40690 Black Gold Pl, Leesburg, VA 20176-7199 | 2015-01-06 |
| 1811039555 | Patrick J. Fullerton | Emergency Medicine | 22326 Us Highway 27 Ste C, Leesburg, FL 34748 | 2007-02-12 |
| 1043358971 | Roshelle J Beckwith | Emergency Medicine | 952 Edwards Ferry Rd Ne, Metromed Urgent Care, Leesburg, VA 20176-3324 | 2007-02-02 |
| 1720170525 | Dahlia Charles | Emergency Medicine | 19535 Newberry Ter Unit 202, Leesburg, VA 20176-1201 | 2006-09-29 |
| 1942237086 | James R Oehler | Emergency Medicine | 25507 Beau Chene Ct, Leesburg, FL 34748-1803 | 2006-06-26 |
| 1417993718 | Zachary Malachias | Emergency Medicine | 44188 Riverpoint Dr, Leesburg, VA 20176-8206 | 2006-06-22 |
| 1669428371 | Pushpal R Banerjee | Emergency Medicine | 1301 N 14th St, Leesburg, FL 34748-3408 | 2006-05-25 |
| 1841242963 | Sean O'mara | Emergency Medicine | 161 Fort Evans Rd Ne Ste255, Leesburg, VA 20176 | 2006-05-17 |
| 1598723082 | Commonwealth Emergency Physicians PC | Emergency Medicine | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-03 |
| 1194799569 | Raymond D Dominick | Emergency Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-02-14 |
| 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.