Organization
CENTRAL FLORIDA CARDIOVASCULAR CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEHINDE A LAYENI M.D. (PHYSICIAN- PRESIDENT)
(352) 253-0003
Entity
Organization
Contact information
Practice address
1691 MAYO DR., TAVARES, FL 32778
(352) 253-0003
(352) 253-0016
Mailing address
1691 MAYO DR., TAVARES, FL 32778
(352) 253-0003
(352) 253-0016
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME62765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371254100
—
FL
Enumeration date
04/14/2006
Last updated
01/22/2010
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