Indian River Cardiology Pa

LBN: Indian River Cardiology Pa
Indian River Cardiology Pa is an health care organization with primary practice located at 3607 15Th Ave Ste A , Vero Beach FL 32960-6513. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Indian River Cardiology Pa can be contacted via phone (772) 562-8522, or through Celano, Charles N via phone (772) 562-8522.

Contact Information

Primary practice address
3607 15Th Ave Ste A Vero Beach FL 32960-6513
Phone: (772) 562-8522
Fax: (772) 562-0317
Website:
Map and Directions
Authorized official contact:
Name: Celano, Charles N Doctor of Medicine (MD)
Phone: (772) 562-8522

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0050599 Florida

Profile Details

NPI number 1124069091
LBN Legal business name Indian River Cardiology Pa
DBA Doing business as
Authorized official Celano, Charles N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Sep 28th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124069091 NPPES
Florida MEDICAID 062571000

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