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Contact Information

CENTRAL FLORIDA CARDIOVASCULAR CENTER PA
1691 MAYO DR.
TAVARES, FL32778
 Phone: 352-253-0003
 Fax: 352-253-0016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CENTRAL FLORIDA CARDIOVASCULAR CENTER PA · (Female)

NPI # 1649234626
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2006
Last updated 01/22/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME62765
  • FL Medicaid 371254100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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