Healthcare Provider Details

I. General information

NPI: 1013885029
Provider Name (Legal Business Name): NATIONAL CARDIAC AND VASCULAR CONSULTANT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3937 S ACCESS RD UNIT B
ENGLEWOOD FL
34224-3612
US

IV. Provider business mailing address

3937 S ACCESS RD UNIT B
ENGLEWOOD FL
34224-3612
US

V. Phone/Fax

Practice location:
  • Phone: 941-559-8995
  • Fax: 941-559-8996
Mailing address:
  • Phone: 941-559-8995
  • Fax: 941-559-8996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JIHAD ALI MUSTAPHA
Title or Position: FOUNDER
Credential: MD
Phone: 941-559-8995