Florida Heart & Vascular Multi Specialty Group, PA

NPI #1457482598 in Leesburg, Florida

Provider Information

NPI Number: 1457482598
Entity Type: Organization
Organization Name: Florida Heart & Vascular Multi Specialty Group, PA
Primary Specialty: Family Medicine
Enumeration Date: Mar 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 601 E DIXIE AVE
Address 2: SUITE 805
City: Leesburg
State: Florida
ZIP Code: 34748-5953
Phone: (325) 326-6005

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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