Organization
CONGENITAL HEART CARE CENTER OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURELIO REYES II MD (PRESIDENT)
(407) 862-1010
Entity
Organization
Contact information
Practice address
425 S HUNT CLUB BLVD, STE 1001, APOPKA, FL 32703-4947
(407) 862-1010
(407) 862-1016
Mailing address
360 N LAKE SYBELIA DR, MAITLAND, FL 32751-4720
(407) 862-1010
(407) 862-1016
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME86455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005948200 091812
—
FL
Enumeration date
03/21/2017
Last updated
05/11/2017
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