ADVANCED HEART AND VASCULAR MEDICINE, INC.


Address: 1355 S International Pkwy, Suite 1481, Lake Mary, FL 32746-1694
Phone: 4078049199

ADVANCED HEART AND VASCULAR MEDICINE, INC. (NPI# 1790100873) 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) 1790100873
Entity Type Organization
Organization Name ADVANCED HEART AND VASCULAR MEDICINE, INC.
Practice Address 1355 S International Pkwy
Suite 1481
Lake Mary
FL 32746-1694
Mailing Address Po Box 951989
Lake Mary
FL 32795-1989
Practice Telephone 4078049199
Practice Fax Number 4078049393
Mailing Telephone 4078049199
Mailing Fax Number 4078049393
Enumeration Date 2014-02-26
Last Update Date 2014-05-16
Authorized Official Name BASIEM WILLIAM BARSOUM (PRESIDENT)
Authorized Official Telephone 4078049199
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1355 S INTERNATIONAL PKWY
SUITE 1481
City LAKE MARY
State FL
Zip Code 32746-1694

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598706442 Balinder S Chahal Psychiatry & Neurology 1355 S International Pkwy, Ste.2491, Lake Mary, FL 32746-1696 2006-06-10
1760882617 Neurology & Neurodiagnostics LLC Psychiatry & Neurology 1355 S International Pkwy, Suite 2451, Lake Mary, FL 32746-1694 2014-08-28
1174862882 Rebecca C Villar Clinical Neuropsychologist 1355 S International Pkwy, Ste 2471, Lake Mary, FL 32746-1694 2013-02-01
1831421403 Jorge Gomez Md Pa Internal Medicine 1355 S International Pkwy, 1451, Lake Mary, FL 32746-1694 2010-02-08
1942345624 Balinder S. Chahal, Md. P.a. Psychiatry & Neurology 1355 S International Pkwy, Suite 2491, Lake Mary, FL 32746-1694 2007-02-21
1629151683 Jacob K Agamasu Md Pa Internal Medicine 1355 S International Pkwy, Suite 1481, Lake Mary, FL 32746-1694 2006-10-23
1104909647 Juan Ros-escalante Psychiatry & Neurology 1355 S International Pkwy, Suite 2451, Lake Mary, FL 32746-1694 2006-10-20
1396754172 Jorge O Diaz Md Pa Internal Medicine 1355 S International Pkwy, Suite 1451, Lake Mary, FL 32746-1694 2006-08-07
1487663373 Jorge O. Diaz Internal Medicine 1355 S International Pkwy, Suite 1451, Lake Mary, FL 32746-1694 2006-08-07
1194767467 Balinder S. Chahal, Md., Pa Psychiatry & Neurology 1355 S International Pkwy, #2491, Lake Mary, FL 32746-1696 2006-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588286397 James Maggert Physical Therapist Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 2020-05-14
1225663743 Jamie Pecot Behavior Technician 300 International Parkway, 200, Lake Mary, FL 32746 2020-03-04
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1376185876 Rinehart Road Surgery Center, LLC Clinic/Center 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 2019-10-16
1871140988 Central Florida Wellness LLC General Practice 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 2019-08-22
1326609942 Antoine Slade I Behavior Technician 4876 Rhinehart Road, Lake Mary, FL 32746 2019-06-25
1245891209 Ohri, LLC Clinic/Center 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 2019-06-21
1336610856 Olivia Laurel Stolz Physician Assistant 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 2018-12-10
1881171072 Elite-star Medical Transport LLC. Non-emergency Medical Transport (VAN) 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 2018-07-20
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

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1861004277 Steve Malosky Md LLC Internal Medicine 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 2020-08-18
1881212744 North Broward Hospital District Internal Medicine 817 S University Dr Ste 104, Plantation, FL 33324-3345 2020-07-08
1821612821 Satish Sivasankaran Md Pa Internal Medicine 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 2020-06-04
1699317933 Abid A Shah Md LLC Internal Medicine 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 2019-10-08
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1205329620 Central Florida Cardiovascular Imaging Center, LLC Internal Medicine 1717 Mayo Dr, Tavares, FL 32778-4307 2018-06-11
1568953511 Orlando Lopez-fernandez Jr. Internal Medicine 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 2018-05-25
1467959668 Cardiology Practice Pa Internal Medicine 5051 Ashington Landing Dr, Tampa, FL 33647-3515 2018-04-12
1619476785 Synergy Health Group LLC Internal Medicine 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 2018-02-05
1114425477 Cardiac Cin of Miami LLC Internal Medicine 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 2018-01-31
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Competitor

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City LAKE MARY
Zip Code 32746

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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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