MEDICARE: FLORIDA CARDIAC HEALTH MEDICAL GROUP, P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1881448512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CARDIAC HEALTH MEDICAL GROUP, P.A

Provider Business Mailing Address
First Line	:	1105 RIDGECREST DR
Second Line	:
City	:	DICKSON
State	:	TN
Zip	:	37055-6003
Country	:	US
Telephone Number	:	615-474-3314
Fax Number	:

Provider Business Practice Location Address
First Line	:	6800 BIRD RD UNIT 650
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3708
Country	:	US
Telephone Number	:	855-338-8800
Fax Number	:

Authorized Official
Title or Position	:	CEO, CFO, PRESIDENT, SECRATARY
Name	:	CHRISTOPHER KOZLOWSKI
Credential	:
Telephone Number	:	855-338-8800

Provider Enumeration Date	:	04/17/2024
Last Update Date	:	03/24/2026

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