Organization
CENTRAL FLORIDA HEART GROUP P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAMI KOLAVENTY (OFFICE MANAGER)
(352) 237-4116
Entity
Organization
Contact information
Practice address
6600 SW HWY 200, SUITE 300, OCALA, FL 34476
(352) 237-4116
(352) 237-1785
Mailing address
6600 SW HWY 200, SUITE # 300, OCALA, FL 34476
(352) 237-4116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51646Z
BCBS GROUP ID #
FL
Enumeration date
02/28/2007
Last updated
05/19/2009
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