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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS | 14JE3 | 01 |
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 |
Street Address |
802 E DIXIE AVE |
City | LEESBURG |
State | FL |
Zip Code | 34748-6014 |
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 |
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 | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
1073845459 | Shakti Narain Md Pa | Internal Medicine | 1070 Flagler Ave, Leesburg, FL 34748-7633 | 2010-02-09 |
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.