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PUTNAM HEART CENTER PA NPI 1598878670


NPI Information

NPI: 1598878670
Provider Name: PUTNAM HEART CENTER PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D0991646

Address:
6710 OLD WOLF BAY RD
PALATKA, FL
ZIP 32177
Phone: (386) 326-1590
Get Directions

PUTNAM HEART CENTER PA is a cardiovascular disease internal medicine in Palatka, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PUTNAM HEART CENTER PA NPI is 1598878670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6710 OLD WOLF BAY RD
PALATKA, FL
ZIP 32177-830
Phone: (386) 326-1590
Fax: (386) 326-1591

The provider's authorized official is Mukesh Goel .
The authorized official title is Owner and has the following contact phone number (386) 326-1590.

The CLIA number assigned to this NPI record is 10D0991646 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 12/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseME77178FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K2374MEDICARE PINFLORIDA
2F23749MEDICARE UPINFLORIDA
3264957800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.