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General NPI Number Information
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NPI Number | 1912668963
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Entity Type | Organization
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Legal Business Name | HEARTWELL MEDICAL GROUP PA
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1035 N ORLANDO AVE STE 205
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City | WINTER PARK
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State | FL
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Zip | 32789-2213
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Country | US
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Telephone | 321-274-8701
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Fax | 321-274-8702
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Provider Business Mailing Address
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Address Line | 1035 N ORLANDO AVE STE 205
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City | WINTER PARK
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State | FL
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Zip | 32789-2213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | RAGHAV SHARMA
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Credential | MD
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Telephone | 513-965-1391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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