MID FLORIDA CARDIOVASCULAR CENTER LLC NPI 1215339817

NPI Information

  • NPI: 1215339817
  • Provider Name: MID FLORIDA CARDIOVASCULAR CENTER, LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 209 RUBY LAKE LN
    WINTER HAVEN, FL
    ZIP 33884
  • Phone: (412) 298-8626

Map and Directions

Get Directions

NPI Details

MID FLORIDA CARDIOVASCULAR CENTER, LLC is a cardiovascular disease internal medicine in Winter Haven, 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. MID FLORIDA CARDIOVASCULAR CENTER, LLC NPI is 1215339817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

209 RUBY LAKE LN
WINTER HAVEN, FL
ZIP 33884-267
Phone: (412) 298-8626
Fax: (888) 235-9876

The provider's authorized official is Siva K Bhashyam .
The authorized official title is M.d. and has the following contact phone number (412) 298-8626.

The enumeration date for this NPI number is 9/25/2014 and was last updated on 9/25/2014.

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 DiseaseYes

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
1005959700MEDICAIDFLORIDA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI