Provider Demographics
NPI:1285870105
Name:HEART CARE CONSULTANTS
Entity type:Organization
Organization Name:HEART CARE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIVEK
Authorized Official - Middle Name:V
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:941-907-8951
Mailing Address - Street 1:6310 HEALTH PARK WAY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5177
Mailing Address - Country:US
Mailing Address - Phone:941-907-8951
Mailing Address - Fax:941-907-3015
Practice Address - Street 1:6310 HEALTH PARK WAY
Practice Address - Street 2:SUITE 120
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-5177
Practice Address - Country:US
Practice Address - Phone:941-907-8951
Practice Address - Fax:941-907-3015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109392200Medicaid
FLOS13436OtherMEDICAL LICENSE