Indian River Cardiology Pa in Vero Beach - Cardiovascular Disease
Indian River Cardiology Pa - NPI 1124069091
Indian River Cardiology Pa is a Cardiovascular Disease in Vero Beach, Florida. Indian River Cardiology Pa practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Indian River Cardiology Pa is 1124069091. The last update date is 2011-09-28.
Indian River Cardiology Pa's current location address is 3607 15th Ave Ste A, Vero Beach, Florida. You can contact this provider via phone number 7725628522 and fax number 7725620317. The mailing address for Indian River Cardiology Pa is 3607 15th Ave Ste A, Vero Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indian River Cardiology Pa |
|---|---|
| Address | 3607 15th Ave Ste A, Vero Beach, Florida |
| Phone Number | 7725628522 |
| Fax Number | 7725620317 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Celano N Charles |
| Credentials | M.D. |
| Telephone Number | 7725628522 |
NPI Number Detail
| NPI Number | 1124069091 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2011-09-28 |
Provider Mailing Address Detail
| Address | 3607 15th Ave Ste A |
|---|---|
| City | Vero Beach |
| State | Florida (FL) |
| Post Code | 329606513 |
| Phone Number | 7725628522 |
| Fax Number | 7725620317 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | ME0050599 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 62571000 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Indian River Cardiology Pa by the Centers for Medicare & Medicaid Services?
The Indian River Cardiology Pa has been issued the NPI (National Provider Identifier) 1124069091, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Indian River Cardiology Pa is geographically located?
The Indian River Cardiology Pa is physically situated at the following location: 3607 15Th Ave Ste A, Vero Beach, FL, 329606513.
What is the Indian River Cardiology Pa's specialty and taxonomy code?
The Indian River Cardiology Pa's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did Indian River Cardiology Pa receive its 1124069091 assignment from the Centers for Medicare & Medicaid Services?
The Indian River Cardiology Pa was assigned its 1124069091 on 2006-06-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Indian River Cardiology Pa's details last updated?
The information pertaining to the Indian River Cardiology Pa, including its address, specialty, and other details, was most recently updated on 2011-09-28.