Organization
VERO BEACH CARDIOVASCULAR ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY A MIDWALL M.D. (OWNER/PRESIDENT)
(772) 567-4311
Entity
Organization
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
(561) 357-0869
Mailing address
PO BOX 864334, ORLANDO, FL 32886-4334
(772) 567-4311
(561) 357-0869
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
FL
207RI0011X
Interventional Cardiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21488
BCBS
FL
05
—
280445000
—
FL
01
—
DN2306
RAIL ROAD MEDICARE
FL
Enumeration date
12/12/2007
Last updated
04/27/2012
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