Premier Heart and Vascular Center, PA
NPI 1417060229 · Cardiovascular Disease Physician · Zephyrhills, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1417060229
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sunil Gupta, Partner(813) 788-1400
- License
- ME78413 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 3675 Innovation DrLakeland, FL 33812-4106Phone: (813) 788-1400Fax: (813) 788-7691
- 1470 N Florida AveLakeland, FL 33805-3637Phone: (813) 788-1400Fax: (813) 788-7691
- 6646 Gunn HwyTampa, FL 33625-4055Phone: (813) 788-1400Fax: (813) 788-7691
- 2615 Windguard Cir # 110Wesley Chapel, FL 33544-7353Phone: (813) 788-1400Fax: (813) 788-7691
- 2477 Bruce B Downs BlvdWesley Chapel, FL 33544-9213Phone: (813) 788-1400Fax: (813) 788-7691
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.