Organization
CARDIAC CARE CENTER INC
Active
Organization
CARDIAC CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL DREYER (OFFICE MANAGER)
(386) 326-3633
Entity
Organization
Contact information
Practice address
700 ZEAGLER DR, SUITE 2, PALATKA, FL 32177
(386) 326-3633
(386) 312-5080
Mailing address
700 ZEAGLER DR STE 2, PALATKA, FL 32177-3826
(386) 326-3633
(386) 312-5080
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME78625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257396200
—
FL
01
—
47147
BLUE CROSS/BLUE SHIELD FL
FL
Enumeration date
08/11/2006
Last updated
04/15/2026
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