Healthcare Provider Details

I. General information

NPI: 1922029818
Provider Name (Legal Business Name): ORLANDO HEART SPECIALISTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 12/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 W CENTRAL PKWY SUITE 2000
ALTAMONTE SPRINGS FL
32714-2436
US

IV. Provider business mailing address

450 W CENTRAL PKWY SUITE 2000
ALTAMONTE SPRINGS FL
32714-2436
US

V. Phone/Fax

Practice location:
  • Phone: 407-767-8554
  • Fax: 407-767-9121
Mailing address:
  • Phone: 407-767-8554
  • Fax: 407-767-9121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. NANDKISHORE RANADIVE
Title or Position: PARTNER/FOUNDER
Credential: M.D., F.A.C.C.
Phone: 407-767-8554