Organization
CARDIOLOGY CARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY B BITAR MD (PRESIDENT PHYSICIAN)
(407) 804-9199
Entity
Organization
Contact information
Practice address
1355 S INTERNATIONAL PARKWAY, STE 1481, LAKE MARY, FL 32746-1694
(407) 804-9199
(407) 804-9393
Mailing address
1355 S INTERNATIONAL PARKWAY, STE 1481, LAKE MARY, FL 32746-1694
(407) 804-9199
(407) 804-9393
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0051776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257731300
—
FL
01
—
34924
BCBS
FL
Enumeration date
05/10/2006
Last updated
12/08/2011
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