Provider Demographics
NPI:1013885029
Name:NATIONAL CARDIAC & VASCULAR CONSULTANT LLC
Entity type:Organization
Organization Name:NATIONAL CARDIAC & VASCULAR CONSULTANT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIHAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:MUSTAPHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-559-8995
Mailing Address - Street 1:310 NESBIT ST
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-3828
Mailing Address - Country:US
Mailing Address - Phone:941-559-8995
Mailing Address - Fax:941-559-8996
Practice Address - Street 1:310 NESBIT ST
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3828
Practice Address - Country:US
Practice Address - Phone:941-559-8995
Practice Address - Fax:941-559-8996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty