Organization
CARDIOVASCULAR ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNSON P MASSEY MD (PRESIDENT)
(407) 846-0626
Entity
Organization
Contact information
Practice address
601 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 846-0626
(407) 846-2371
Mailing address
601 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 846-0626
(407) 846-2371
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
91700049142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372298800
—
FL
Enumeration date
08/09/2005
Last updated
01/09/2015
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