| Central Florida Heart Group P.a. | |
|
6600 Sw Hwy 200 Suite 300 Ocala FL 34476 | |
| (352) 237-4116 | |
| (352) 237-1785 |
| Full Name | Central Florida Heart Group P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6600 Sw Hwy 200, Ocala, Florida |
| Authorized Official Name and Position | Kami Kolaventy (OFFICE MANAGER) |
| Authorized Official Contact | 3522374116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Heart Group P.a. 6600 Sw Hwy 200 Suite # 300 Ocala FL 34476 Ph: (352) 237-4116 | Central Florida Heart Group P.a. 6600 Sw Hwy 200 Suite 300 Ocala FL 34476 Ph: (352) 237-4116 |
| NPI Number | 1013044726 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 05/19/2009 |
| Medicare PECOS PAC ID | 5890781405 |
|---|---|
| Medicare Enrollment ID | O20040421000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013044726 | NPI | - | NPPES |
| 51646Z | Other | FL | BCBS GROUP ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Ravindra K Kolaventy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861419194 PECOS PAC ID: 5092701615 Enrollment ID: I20040422000564 |
| Provider Name | Asad U Qamar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033145487 PECOS PAC ID: 9931158599 Enrollment ID: I20070627000603 |
| Provider Name | Dianne G Copenhaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427010552 PECOS PAC ID: 7911289889 Enrollment ID: I20170130001127 |
| Provider Name | Cary A Harbater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811347636 PECOS PAC ID: 3173809282 Enrollment ID: I20170404000157 |
| Provider Name | Sheryl L O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639685944 PECOS PAC ID: 8123374014 Enrollment ID: I20180706002152 |
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