Provider Demographics
NPI:1497784599
Name:CARDIOLOGY ASSOCIATES L.L.C.
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LINGAPPA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARCHAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-796-6721
Mailing Address - Street 1:750 DESOTO AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-2814
Mailing Address - Country:US
Mailing Address - Phone:352-796-6721
Mailing Address - Fax:352-754-0375
Practice Address - Street 1:750 DESOTO AVE
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-2814
Practice Address - Country:US
Practice Address - Phone:352-796-6721
Practice Address - Fax:352-754-0375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68472207R00000X
FLME0021368207RC0000X
FLME82878207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL21313OtherBLUE CROSS BLUE SHIELD
FLDA 1090OtherRAIL ROAD MEDICARE
FL7801420OtherAETNA
FL21313OtherBLUE CROSS BLUE SHIELD