# PERSONAL HEART CARE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154582286
- **Authorized official:** GLENN KEITH HARRIS M.D. (PRESIDENT)
- **Authorized official phone:** (407) 367-0742

## Contact information

- **Practice address:** 7824 LAKE UNDERHILL RD, SUITE E, ORLANDO, FL 32822-8201
- **Practice address phone:** (407) 367-0742
- **Practice address fax:** (407) 367-0386
- **Mailing address:** 7824 LAKE UNDERHILL RD, SUITE E, ORLANDO, FL 32822-8201
- **Mailing address phone:** (407) 367-0742
- **Mailing address fax:** (407) 367-0386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 177336-1 | NY | — |
| 261QM2500X | Medical Specialty Clinic/Center | ME0064086 | FL | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 02/09/2010