# FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, 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:** 1598016362
- **Authorized official:** JUNE LEW (TREASURER/CFO)
- **Authorized official phone:** (352) 728-6808

## Contact information

- **Practice address:** 802 E DIXIE AVE, LEESBURG, FL 34748-6014
- **Practice address phone:** (352) 728-6808
- **Practice address fax:** (352) 728-1743
- **Mailing address:** 511 MEDICAL PLAZA DR, SUITE 101, LEESBURG, FL 34748-7326
- **Mailing address phone:** (352) 728-6808
- **Mailing address fax:** (352) 728-1743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME108692 | FL | Yes |
| 207RN0300X | Nephrology Physician | ME 108692 | FL | — |
| 261QP2300X | Primary Care Clinic/Center | ME 108692 | FL | — |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 04/01/2013