FLORIDA HEART CENTER PA
NPI 1043427107
Specialist in Orange Park, FL

Active since May 17, 2007CLIA 10D0267144 · Waiver
1518 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 269-1664(904) 264-4085 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Florida Heart Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA HEART CENTER PA (NPI 1043427107) is a healthcare organization registered as a specialist in Orange Park, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Hossein Ramezani, President, as its authorized official.

NPPES Registry Identity

NPI1043427107
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFLORIDA HEART CENTER PA
Location Address1518 KINGSLEY AVEOrange Park, FL 32073-4511
Mailing AddressPo Box 365Orange Park, FL 32067-0365 · (904) 269-1664 · Fax (904) 264-4085
Fax(904) 264-4085
Organization SubpartNo
Authorized OfficialHossein RamezaniPresident · (904) 269-1664
Enumeration DateMay 17, 2007
Last NPPES UpdateMarch 30, 2011
✔ NPI 1043427107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1518 KINGSLEY AVE, Orange Park, FL 32073

Other Identifiers 2

Medicaid040894800FL
Medicare PIN10988FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida Heart Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20110628000885Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Florida Heart Center PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Cardiovascular Disease (Cardiology)
NPI 1962464685
1518 KINGSLEY AVE
Orange Park, FL 32073
(904) 269-1664
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1194760066
8245 BAYBERRY RD
Jacksonville, FL 32256
(904) 296-7775
✔ PECOS✔ Accepts Medicare9.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0267144

Florida Heart Center, PA, Hossein Ramezani · Orange Park, FL
Active · expires May 10, 2027
CLIA Number10D0267144
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorHossein P. Ramezani
Laboratory Phone(904) 269-1664
Laboratory LocationFlorida Heart Center, PA, Hossein Ramezani1518 Kingsley Ave, Orange Park, FL 32073
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Heart Center PA's NPI number?

The NPI number for Florida Heart Center PA is 1043427107. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Florida Heart Center PA located?

Florida Heart Center PA is located at 1518 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 269-1664.

What is Florida Heart Center PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Florida Heart Center PA enrolled in Medicare?

Yes. Florida Heart Center PA is registered in the Medicare PECOS enrollment system.

When is Florida Heart Center PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Florida Heart Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Florida Heart Center PA, in Cardiac Electrophysiology and Cardiovascular Disease (Cardiology). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Florida Heart Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0267144) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Heart Center PA accept?

Health plans from AvMed list Florida Heart Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Heart Center PA was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.