Provider Type Icon

ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE NPI 1770108706


NPI Information

NPI: 1770108706
Provider Name: ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D2259424

Address:
1301 PLANTATION ISLAND DR S STE 302A
ST AUGUSTINE, FL
ZIP 32080
Phone: (386) 232-9203
Get Directions

ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE is a cardiovascular disease internal medicine in St Augustine, 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. ANSAARIE CARDIAC & ENDOVASCULAR CENTER OF EXCELLENCE NPI is 1770108706. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1301 PLANTATION ISLAND DR S STE 302A
ST AUGUSTINE, FL
ZIP 32080-117
Phone: (386) 232-9203
Fax: (386) 222-3064

The provider's authorized official is Imraan Ansaarie .
The authorized official title is Owner and has the following contact phone number (386) 232-9203.

The CLIA number assigned to this NPI record is 10D2259424 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/16/2020 and was last updated on 6/16/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ME121178OTHERGEORGIASTATE LICENSE

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: 4/28/2024

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.