Provider Demographics
NPI:1598042822
Name:HEART & VASCULAR INSTITUTE OF FLORIDA PLC
Entity Type:Organization
Organization Name:HEART & VASCULAR INSTITUTE OF FLORIDA PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:IRFAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:863-432-7837
Mailing Address - Street 1:202 DRAKE ST
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5021
Mailing Address - Country:US
Mailing Address - Phone:407-756-3816
Mailing Address - Fax:863-422-4616
Practice Address - Street 1:42721 HIGHWAY 27
Practice Address - Street 2:SUITE 102
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-6821
Practice Address - Country:US
Practice Address - Phone:863-432-7837
Practice Address - Fax:863-422-4616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-15
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty