Healthcare Provider Details

I. General information

NPI: 1962264283
Provider Name (Legal Business Name): FLORIDA HEART AND VASCULAR SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 SUNTREE BLVD STE 102
ROCKLEDGE FL
32955-5720
US

IV. Provider business mailing address

3155 SUNTREE BLVD STE 102
ROCKLEDGE FL
32955-5720
US

V. Phone/Fax

Practice location:
  • Phone: 321-441-4418
  • Fax:
Mailing address:
  • Phone: 321-441-4418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. AMIT SHARMA
Title or Position: OWNER
Credential: MD
Phone: 321-441-8749