Provider Demographics
NPI:1699072975
Name:PREMIER CARDIOLOGY & VASCULAR ASSOCIATES PL
Entity type:Organization
Organization Name:PREMIER CARDIOLOGY & VASCULAR ASSOCIATES PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMISH
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-622-0793
Mailing Address - Street 1:670 N ORLANDO AVE
Mailing Address - Street 2:SUITE 1003
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4481
Mailing Address - Country:US
Mailing Address - Phone:407-622-0793
Mailing Address - Fax:866-362-3655
Practice Address - Street 1:541 E HORATIO AVE STE 100
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7316
Practice Address - Country:US
Practice Address - Phone:407-622-0793
Practice Address - Fax:321-503-9598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLET932AMedicare PIN