Provider Demographics
NPI:1972123701
Name:HEART CLINIC OF CENTRAL FLORIDA LLC
Entity type:Organization
Organization Name:HEART CLINIC OF CENTRAL FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:MAGDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SANCHEZ-VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-913-6602
Mailing Address - Street 1:119 CELEBRATION BLVD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5009
Mailing Address - Country:US
Mailing Address - Phone:407-913-6602
Mailing Address - Fax:
Practice Address - Street 1:52 RILEY RD # 429
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5420
Practice Address - Country:US
Practice Address - Phone:407-913-6602
Practice Address - Fax:201-419-2656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty