SOUTH COUNTY HEART GROUP INC NPI 1114095890

NPI Information

  • NPI: 1114095890
  • Provider Name: SOUTH COUNTY HEART GROUP INC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: SOUTH COUNTY HEART CENTER
  • Address: 1225 JACARANDA BLVD
    VENICE, FL
    ZIP 34292
  • Phone: (941) 492-5666

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NPI Details

SOUTH COUNTY HEART GROUP INC is a cardiovascular disease internal medicine in Venice, FL. The provider is 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. SOUTH COUNTY HEART GROUP INC NPI is 1114095890. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South County Heart Center.

The provider's business location address is:

1225 JACARANDA BLVD
VENICE, FL
ZIP 34292-521
Phone: (941) 492-5666
Fax: (941) 497-2331

The provider's authorized official is William J Corin .
The authorized official title is Prersident and has the following contact phone number (941) 492-5666.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CE0372OTHERFLORIDARAILROAD MEDICARE
2257322900MEDICAIDFLORIDA
3252635200MEDICAIDFLORIDA
4373654700MEDICAIDFLORIDA
540574MEDICARE PIN
6C18929OTHERBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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