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

Cardiovascular Associates of Lake County, PA

Organization Cardiovascular Disease Physician · NPI 1679508063

Cardiovascular Associates of Lake County, PA is a Cardiovascular Disease Physician in Tavares, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1879 Nightingale Ln Ste C-1
Tavares, FL 32778
Phone: (352) 742-1171
Fax: (352) 742-7241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1679508063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Goss — President · (352) 742-1171
NPI enumeratedJuly 12, 2006
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address1879 Nightingale Lane, Suite C-1, Tavares, FL 32778

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