Florida Heart & Vascular Care, Pllc

LBN: Florida Heart & Vascular Care, Pllc
Florida Heart & Vascular Care, Pllc is an health care organization with primary practice located at 120 Cypress Edge Dr Suite 203, Palm Coast FL 32164-8453. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Florida Heart & Vascular Care, Pllc can be contacted via phone (386) 586-4410, or through Theilade, Karen Christiane via phone (386) 237-7353.

Contact Information

Primary practice address
120 Cypress Edge Dr Suite 203 Palm Coast FL 32164-8453
Phone: (386) 586-4410
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Theilade, Karen Christiane Doctor of Medicine (MD)
Phone: (386) 237-7353

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X

Profile Details

NPI number 1669710141
LBN Legal business name Florida Heart & Vascular Care, Pllc
DBA Doing business as
Authorized official Theilade, Karen Christiane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2013
Last updated Sep 30th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669710141 NPPES
Florida Other 0046G BCBS
Florida MEDICAID 008378300 BCBS
Florida Other DT6579 BCBS

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