Organization
CARDIOVASCULAR CARE CENTERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALEB MERCADO M.D. (CARDIOLOGIST)
(407) 872-8588
Entity
Organization
Contact information
Practice address
100 W GORE ST, SUITE 403, ORLANDO, FL 32806
(407) 872-8588
(407) 872-1875
Mailing address
100 W GORE ST STE 403, ORLANDO, FL 32806-1049
(407) 872-8588
(407) 872-1875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0065144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009792100
—
FL
01
—
K4843
PTAN
FL
Enumeration date
03/28/2008
Last updated
06/19/2018
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