CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA – NPI #1679508063
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA is a provider located in TAVARES, FL. NPPES has assigned the NPI number 1679508063 to CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA on July 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 5 years ago on Apr 28, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA below.

NPI Profile for
CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA

NPI Number
1679508063
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA
Primary location
1879 NIGHTINGALE LANE
SUITE C-1
TAVARES, FL 32778
Phone: (352) 742-1171 Fax: (352) 742-7241
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAMUEL GOSS
PRESIDENT
Phone: (352) 742-1171
Updated
Certification Date
Apr 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL374579100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.