Organization
INDIAN RIVER CARDIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES N CELANO M.D. (OWNER)
(772) 562-8522
Entity
Organization
Contact information
Practice address
3607 15TH AVE STE A, VERO BEACH, FL 32960-6513
(772) 562-8522
(772) 562-0317
Mailing address
3607 15TH AVE STE A, VERO BEACH, FL 32960-6513
(772) 562-8522
(772) 562-0317
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0050599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062571000
—
FL
Enumeration date
06/09/2006
Last updated
09/28/2011
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