ADVANCED HEART CENTER LLC NPI 1649293523

NPI Information

  • NPI: 1649293523
  • Provider Name: ADVANCED HEART CENTER LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 10D2165243
  • Address: 14051 METROPOLIS AVE
    FORT MYERS, FL
    ZIP 33912
  • Phone: (239) 334-7177

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NPI Details

ADVANCED HEART CENTER LLC is a cardiovascular disease internal medicine in Fort Myers, 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. ADVANCED HEART CENTER LLC NPI is 1649293523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14051 METROPOLIS AVE
FORT MYERS, FL
ZIP 33912-330
Phone: (239) 334-7177
Fax: (239) 425-6521

The provider's authorized official is Mikki Smallwood .
The authorized official title is Office Manager and has the following contact phone number (239) 334-7177.

The CLIA number assigned to this NPI record is 10D2165243 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/20/2007.

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
12MEDICARE PINFLORIDA
2K3832MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3K3832MEDICARE PINFLORIDA

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: 3/30/2025

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