LONGWOOD MEDICAL GROUP PA
NPI 1235323023
Internal Medicine - Cardiovascular Disease in Longwood, FL

Active since September 05, 2007CLIA 10D1047086 · Waiver
450 W STATE ROAD 434, STE 301, LONGWOOD, FL 32750(407) 767-8200(407) 767-0476 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Longwood Medical Group Pa NPPES

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

LONGWOOD MEDICAL GROUP PA (NPI 1235323023), doing business as Longwood Cardiology Pa, is a healthcare organization registered as a cardiovascular disease in Longwood, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Alisa Marie Character, Billing Office Supervisor, as its authorized official.

NPPES Registry Identity

NPI1235323023
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLONGWOOD MEDICAL GROUP PA
Location Address450 W STATE ROAD 434, STE 301Longwood, FL 32750-5187
Mailing Address450 W State Rd 434, Ste 301Longwood, FL 32750 · (407) 767-8200 · Fax (407) 767-0476
Fax(407) 767-0476
Organization SubpartNo
Authorized OfficialAlisa Marie CharacterBilling Office Supervisor · (407) 767-8200
Enumeration DateSeptember 5, 2007
Last NPPES UpdateMay 1, 2018
NPI 1235323023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · ME78066
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME79324 (FL)
450 W STATE ROAD 434, Longwood, FL 32750

Other Names 1

Former Legal Business NameLongwood Cardiology Pa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 10D1047086

Longwood Cardiology · Longwood, FL
Active · expires Oct 25, 2027
CLIA Number10D1047086
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorWasim Ahmar MD
Laboratory Phone(407) 767-8200
Laboratory LocationLongwood Cardiology450 W State Rd 434 Ste 301, Longwood, FL 32750
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
450 W STATE ROAD 434
LONGWOOD, FL 32750
Internal Medicine (Interventional Cardiology)
450 W STATE ROAD 434, STE 301
LONGWOOD, FL 32750
Psychiatry & Neurology (Psychiatry)
450 W STATE ROAD 434
LONGWOOD, FL 32750
Internal Medicine (Interventional Cardiology)
450 W STATE ROAD 434, STE 301
LONGWOOD, FL 32750
Clinic/Center (Primary Care)
450 W STATE ROAD 434, SUITE 2020
LONGWOOD, FL 32750
Radiology (Diagnostic Radiology)
450 W STATE ROAD 434, SUITE 1020
LONGWOOD, FL 32750

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 Longwood Medical Group PA's NPI number?

The NPI number for Longwood Medical Group PA is 1235323023. It was assigned to this organization in the NPPES registry on September 5, 2007. The provider was formerly known as Longwood Cardiology PA.

Where is Longwood Medical Group PA located?

Longwood Medical Group PA is located at 450 W State Road 434 Ste 301, Longwood, FL 32750. The listed phone number is (407) 767-8200.

What is Longwood Medical Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Longwood Medical Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1047086) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Longwood Medical Group PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Longwood Medical Group 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 Longwood Medical Group PA was last updated on May 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.