| NPI | 1699769042 |
|---|---|
| Other Name | FLORIDA HEART & VASCULAR CENTER |
| Entity Type | Organization |
| Authorized Contact | JACKIE FAUNDA Physician Credentialing 352-728-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RN0300X Internal Medicine Nephrology | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology | |
| 208600000X Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2013-09-13 |