CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA
NPI 1679508063
Internal Medicine - Cardiovascular Disease in Tavares, FL

Active since July 12, 2006CLIA 10D0956572 · Waiver
1879 NIGHTINGALE LANE, SUITE C-1, TAVARES, FL 32778(352) 742-1171(352) 742-7241 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cardiovascular Associates Of Lake County, Pa NPPES

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

CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA (NPI 1679508063) is a healthcare organization registered as a cardiovascular disease in Tavares, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Samuel J Goss, President, as its authorized official.Information from the official NPPES registry record, last updated April 28, 2021.

NPPES Registry Identity

NPI1679508063
Entity TypeOrganization
Legal Business NameCARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA
Location Address1879 NIGHTINGALE LANE, SUITE C-1Tavares, FL 32778
Mailing Address1879 Nightingale Lane, Suite C-1Tavares, FL 32778 · (352) 742-1171 · Fax (352) 742-7241
Fax(352) 742-7241
Organization SubpartNo
Authorized OfficialSamuel J GossPresident · (352) 742-1171
Enumeration DateJuly 12, 2006
Last NPPES UpdateApril 28, 2021
NPPES CertifiedApril 28, 2021
NPI 1679508063 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Internal Medicine · Cardiovascular Disease

Taxonomy 207RC0000X · Allopathic & Osteopathic Physicians

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… Show more

1879 NIGHTINGALE LANE, Tavares, FL 32778

Also on File with NPPES

Other Identifiers1
374579100 (Medicaid, FL)
Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0956572
Facility Type
Physician Office
Certificate Effective Date
May 24, 2025
Certificate Expiration Date
May 23, 2027
Laboratory Director
RAMA K. KRISHNA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cardiovascular Associates Of Lake County, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CARDIOVASCULAR ASSOCIATES OF LAKE COUNTY, PA

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Surgery
1879 NIGHTINGALE LANE, SUITE B4
TAVARES, FL 32778
Surgery
1879 NIGHTINGALE LANE, SUITE B3
TAVARES, FL 32778
Internal Medicine (Cardiovascular Disease)
1879 NIGHTINGALE LANE, SUITE C1
TAVARES, FL 32778
Nurse Practitioner
1879 NIGHTINGALE LANE, SUITE C-1
TAVARES, FL 32778
Internal Medicine (Cardiovascular Disease)
1879 NIGHTINGALE LANE, SUITE C1
TAVARES, FL 32778
Internal Medicine (Clinical Cardiac Electrophysiology)
1879 NIGHTINGALE LANE, SUITE C1
TAVARES, FL 32778

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679508063, enumerated as an "organization" on July 12, 2006.

The provider is located at 1879 NIGHTINGALE LANE SUITE C-1 TAVARES, FL 32778 and the phone number is (352) 742-1171.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.