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Florida Heart & Vascular Multi Specialty Group PA

Cardiovascular Disease Physician in Leesburg, FL · enumerated 2005 · authorized official Jackie Faunda, Physician Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699769042

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Registry record

Entity type Organization (Type 2)
Legal business name Florida Heart & Vascular Multi Specialty Group PA
Other name <Unavail>
Practice address 511 Medical Plaza Dr, Suite 101, Leesburg, FL, 34748
Phone (352) 728-6808
Fax (352) 728-1743
Enumeration date Aug 31, 2005
Last updated in NPPES Sep 13, 2013

Taxonomy & classification

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

Authorized official

Name Jackie Faunda
Title Physician Credentialing
Phone (352) 728-6808

Other identifiers

Identifier Type State Issuer
21798 Other FL BCBS FLORIDA
255260400 Medicaid FL -
773114 Other - MAILHANDLERS
695956 Other - TUFTS
CN9333 Other - GBA RR PALMETTO
7914953 Other - MAMSI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Florida Heart & Vascular Multi Specialty Group PA?
The NPI for Florida Heart & Vascular Multi Specialty Group PA is 1699769042, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Florida Heart & Vascular Multi Specialty Group PA?
NPPES lists Jackie Faunda (Physician Credentialing) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-13.