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

Florida Heart & Vascular Multi Specialty Group PA

Organization Family Medicine Physician · NPI 1699769042

Florida Heart & Vascular Multi Specialty Group PA is a Family Medicine Physician in Leesburg, Florida. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
9
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

511 Medical Plaza Dr Ste 101
Leesburg, FL 34748-7326
Phone: (352) 728-6808
Fax: (352) 728-1743
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Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Interventional Cardiology Physician Taxonomy 207RI0011X
Nephrology Physician Taxonomy 207RN0300X
Nuclear Cardiology Physician Taxonomy 207UN0901X
Surgery Physician Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1699769042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Faunda — Physician Credentialing · (352) 728-6808
Other names Florida Heart & Vascular Center
NPI enumeratedAugust 31, 2005
Last updated in NPPESSeptember 13, 2013
Mailing address511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326

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