Florida Heart & Vascular Group, PA

NPI #1225284391 in Lady Lake, Florida

Provider Information

NPI Number: 1225284391
Entity Type: Organization
Organization Name: Florida Heart & Vascular Group, PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 8, 2008
Last Updated: Aug 8, 2008

Practice Location

Address: 201 LAGRANDE BLVD
City: Lady Lake
State: Florida
ZIP Code: 32159-1303
Phone: (352) 753-0606

Authorized Official

Name: REGINA INGRAM
Title: ADMINISTRATOR
Phone: (352) 728-6808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Family Medicine	207Q00000X	Primary

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