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General NPI Number Information
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NPI Number | 1699072975
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Entity Type | Organization
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Legal Business Name | PREMIER CARDIOLOGY & VASCULAR ASSOCIATES PL
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 541 E HORATIO AVE STE 100
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City | MAITLAND
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State | FL
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Zip | 32751-7316
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Country | US
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Telephone | 407-622-0793
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Fax | 321-503-9598
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Provider Business Mailing Address
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Address Line | 541 E HORATIO AVE STE 100
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City | MAITLAND
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State | FL
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Zip | 32751-7316
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Country | US
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Telephone | 407-622-0793
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Fax | 866-362-3655
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | AMISH M PARIKH
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Credential | MD
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Telephone | 689-203-9437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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