Organization
CARDIOVASCULAR CENTER OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES O'DARE III (PRINCIPAL)
(856) 335-5025
Entity
Organization
Contact information
Practice address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(856) 335-5025
(856) 213-9269
Mailing address
575 N ROUTE 73 STE A6, WEST BERLIN, NJ 08091-2440
(856) 335-5025
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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