Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cardiovascular Associates of Lake County, PA

Organization Cardiovascular Disease Physician · NPI 1679508063

Cardiovascular Associates of Lake County, PA provides Cardiovascular Disease Physician services in Tavares, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1879 Nightingale Ln Ste C-1
Tavares, FL 32778
Phone: (352) 742-1171
Fax: (352) 742-7241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1679508063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Goss — President · (352) 742-1171
NPI enumeratedJuly 12, 2006
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address1879 Nightingale Lane, Suite C-1, Tavares, FL 32778

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