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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