Provider Demographics
NPI:1922029818
Name:ORLANDO HEART SPECIALISTS, P.A.
Entity type:Organization
Organization Name:ORLANDO HEART SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANDKISHORE
Authorized Official - Middle Name:
Authorized Official - Last Name:RANADIVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC
Authorized Official - Phone:407-767-8554
Mailing Address - Street 1:450 W CENTRAL PKWY
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2436
Mailing Address - Country:US
Mailing Address - Phone:407-767-8554
Mailing Address - Fax:407-767-9121
Practice Address - Street 1:450 W CENTRAL PKWY
Practice Address - Street 2:SUITE 2000
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2436
Practice Address - Country:US
Practice Address - Phone:407-767-8554
Practice Address - Fax:407-767-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0337Medicare ID - Type UnspecifiedMEDICARE