Healthcare Provider Details

I. General information

NPI: 1982906152
Provider Name (Legal Business Name): FLORIDA CARDIOVASCULAR SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2010
Last Update Date: 11/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 E NORTH BLVD
LEESBURG FL
34748-5348
US

IV. Provider business mailing address

1020 E NORTH BLVD
LEESBURG FL
34748-5348
US

V. Phone/Fax

Practice location:
  • Phone: 352-326-1731
  • Fax: 352-728-2498
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

VIII. Authorized Official

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