WINTER HAVEN CARDIOVASCULAR ASSOCIATES PL


Address: 200 Avenue F Ne, 2 Main Endo Hall #4, Winter Haven, FL 33881-4131
Phone: 8632948400

WINTER HAVEN CARDIOVASCULAR ASSOCIATES PL (NPI# 1992748776) 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) 1992748776
Entity Type Organization
Organization Name WINTER HAVEN CARDIOVASCULAR ASSOCIATES PL
Practice Address 200 Avenue F Ne
2 Main Endo Hall #4
Winter Haven
FL 33881-4131
Mailing Address 700 Doctors Ct
Leesburg
FL 34748-7314
Practice Telephone 8632948400
Practice Fax Number 8632948536
Mailing Telephone 3527879838
Mailing Fax Number 3527878705
Enumeration Date 2006-06-13
Last Update Date 2020-06-05
Authorized Official Name TREVA D. WIDDIS (ADMINISTRATOR)
Authorized Official Telephone 3527879838
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 273688800 05
FL BCBS OF FLORIDA 98928 01

Office Location

Street Address 200 AVENUE F NE
2 MAIN ENDO HALL #4
City WINTER HAVEN
State FL
Zip Code 33881-4131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659353993 Phillip C. Gordon Pathology 200 Avenue F Ne, Dept. of Pathology, Winter Haven, FL 33881-4131 2005-11-14
1679193726 Maria Ann Cressman Registered Nurse 200 Avenue F Ne, Winter Haven, FL 33881-4131 2020-04-19
1194386144 James Ray Fuentes Nurse Practitioner 200 Avenue F Ne, Winter Haven, FL 33881-4193 2019-06-20
1023573961 Candy Bridges Registered Nurse 200 Avenue F Ne, Winter Haven, FL 33881-4131 2019-02-05
1093299380 Amy Arlene Davis Nurse Practitioner 200 Avenue F Ne, Winter Haven, FL 33881-4131 2018-09-21
1639656614 Felix E Sanchez Pharmacist 200 Avenue F Ne, Winter Haven, FL 33881-4131 2018-07-23
1801384243 Tarsha Foreman Nurse Practitioner 200 Avenue F Ne, Winter Haven, FL 33881-4131 2018-05-01
1265953178 Publix Super Markets, Inc Durable Medical Equipment & Medical Supplies 200 Avenue F Ne, Winter Haven, FL 33881 2017-06-30
1518497601 Hui Yang Occupational Therapist 200 Avenue F Ne, Winter Haven, FL 33881-4131 2017-06-12
1093243552 Chelsea Elizabeth Lenz Emergency Medicine 200 Avenue F Ne, Winter Haven, FL 33881-4131 2017-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114534476 Ctc's Heart of Caring, Inc In Home Supportive Care 2995 Eagle Nest View Drive, Winter Haven, FL 33881 2020-09-29
1356813869 Michael Thomas Wiernicki Dentist 1074 Spring Lake Plaza, Winter Haven, FL 33881 2018-12-21
1659862423 Patricia Pelt Social Worker 3073 Buckeye Point Dr, Winter Haven, FL 33881 2018-05-28
1952891244 Ansley Health LLC Home Health 1502 6th Ct Ne, Winter Haven, FL 33881 2018-05-14
1346699261 Yovanka Zapata Specialist/Technologist, Other 5856 Windrigde Dr., Winter Haven, FL 33881 2016-06-10
1720415599 Villa Pharmacy LLC Pharmacy 105 Avenue R Nw, Winter Haven, FL 33881 2013-10-10
1992149397 Nic 5 Spring Haven Leasing LLC Assisted Living Facility 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 2013-04-29
1780938225 Penelope Sturdevant Nurse Practitioner 2791 Lake Alfred Rd., Winter Haven, FL 33881 2012-11-06
1649548165 Tim R Acree Non-emergency Medical Transport (VAN) 2 Eagles Nest, Winter Haven, FL 33881 2011-12-12
1285899419 Adjustment and Awareness Counseling Community/Behavioral Health 243 3rd St Nw, Winter Haven, FL 33881 2008-07-28
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558420976 Larry D Thomas Thoracic Surgery (Cardiothoracic Vascular Surgery) 575 E Central Ave, Winter Haven, FL 33880 2006-12-08
1174515910 David K Evans Thoracic Surgery (Cardiothoracic Vascular Surgery) 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881-4131 2005-08-18
1619974185 Panagiotis Iakovidis Thoracic Surgery (Cardiothoracic Vascular Surgery) 325 1st St N, Winter Haven, FL 33881-4111 2005-06-30
1144662651 Safi Haq Thoracic Surgery (Cardiothoracic Vascular Surgery) 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881-4131 2013-07-25
1558369454 Cary Jake Lambert Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 500 E Central Ave, Bond Clinic, P.a., Winter Haven, FL 33880-3053 2005-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437765898 Leonardo Andrade Mulinari Thoracic Surgery (Cardiothoracic Vascular Surgery) 1120 Nw 14th St Ofc 462, Miami, FL 33136-2107 2020-09-21
1093344376 Jupiter Medical Center Physicians Group Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 1002 S Old Dixie Hwy Ste 101, Jupiter, FL 33458-7202 2020-04-07
1720581937 John J Dunning Thoracic Surgery (Cardiothoracic Vascular Surgery) 12901 Bruce B Downs Blvd # 62, Tampa, FL 33612-4742 2018-03-14
1871020545 Nicholas James Sears Thoracic Surgery (Cardiothoracic Vascular Surgery) 450 Knights Run Ave, Suite 1406, Tampa, FL 33602-6300 2017-05-12
1124410857 Miami Vein Clinics Pllc Thoracic Surgery (Cardiothoracic Vascular Surgery) 8549 Coral Way, Miami, FL 33155-2335 2015-03-04
1861884595 Usa Vascular Centers of Miami Pllc Thoracic Surgery (Cardiothoracic Vascular Surgery) 1711 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621 2015-03-04
1568861995 Modesto Peralta Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 423 W Fenway Dr, Hernando, FL 34442-5144 2014-08-21
1477982197 Paul Kurlansky Thoracic Surgery (Cardiothoracic Vascular Surgery) 2755 N Bay Rd, Miami Beach, FL 33140-4264 2013-11-04
1184063521 Walter Smithwick IIi Thoracic Surgery (Cardiothoracic Vascular Surgery) 4708 Prince Edward Rd, Jacksonville, FL 32210-8118 2013-06-19
1023451937 Leonard R. Levy Thoracic Surgery (Cardiothoracic Vascular Surgery) 1121 Crandon Blvd, F-701, Key Biscayne, FL 33149-2755 2013-04-10
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City WINTER HAVEN
Zip Code 33881

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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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