# ANGELHEART LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANGELHEART LLC
- **Other names:** ANGELHEART LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982984134
- **Legal business name:** ANGELHEART LLC
- **Authorized official:** MR. JEFFREY S LYONS DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (941) 894-7429

## Contact information

- **Practice address:** 3004 SEASONS BOULIVARD, SARASOTA, FL 34240
- **Practice address phone:** (941) 894-7429
- **Mailing address:** 3004 SEASONS BLVD, SARASOTA, FL 34240-8230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS7077 | FL | Yes |

## Other

- **Enumeration date:** 08/19/2011
- **Last updated:** 08/19/2011