Healthcare Provider Details

I. General information

NPI: 1033502398
Provider Name (Legal Business Name): FLORIDA CARDIOVASCULAR SPECIALISTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2015
Last Update Date: 03/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E HIGHLAND AVE STE 1
CLERMONT FL
34711-2582
US

IV. Provider business mailing address

1020 E NORTH BLVD
LEESBURG FL
34748-5348
US

V. Phone/Fax

Practice location:
  • Phone: 352-394-3611
  • Fax: 352-394-0739
Mailing address:
  • Phone: 352-326-1731
  • Fax: 352-728-2498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HECTOR L GARCIA
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 352-326-1731