Organization
INSTITUTE OF CARDIOVASCULAR MEDICINE LLC
Active
Organization
INSTITUTE OF CARDIOVASCULAR MEDICINE LLC
Active
Other names
Central Florida Heart Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI NASSER M.D. (PHYSICIAN)
(352) 291-0166
Entity
Organization
Contact information
Practice address
10435 SE 170TH PL, SUMMERFIELD, FL 34491-8998
(352) 347-7923
(352) 347-6181
Mailing address
PO BOX 919298, ORLANDO, FL 32891-9298
(352) 624-7384
(352) 624-7385
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262215700
—
FL
01
—
40773
BCBS
FL
01
—
CD5197
RR MEDICARE
FL
Enumeration date
07/27/2006
Last updated
10/07/2009
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