Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Heart and Vascular Medicine, Inc

Organization Cardiovascular Disease Physician · NPI 1790100873

Advanced Heart and Vascular Medicine, Inc is a Cardiovascular Disease Physician in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1355 S International Pkwy Ste 1481
Lake Mary, FL 32746-1694
Phone: (407) 804-9199
Fax: (407) 804-9393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1790100873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basiem Barsoum — President · (407) 804-9199
NPI enumeratedFebruary 26, 2014
Last updated in NPPESMay 16, 2014
Mailing addressPo Box 951989, Lake Mary, FL 32795-1989

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