Provider Demographics
NPI:1134803471
Name:CARDIOCARE HEART AND VASCULAR CENTER PLLC
Entity type:Organization
Organization Name:CARDIOCARE HEART AND VASCULAR CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-427-7558
Mailing Address - Street 1:210 JUPITER LAKES BLVD
Mailing Address - Street 2:BLDG 5000 STE 202
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5810
Mailing Address - Country:US
Mailing Address - Phone:561-831-8451
Mailing Address - Fax:833-968-3335
Practice Address - Street 1:210 JUPITER LAKES BLVD
Practice Address - Street 2:BLDG 5000 STE 202
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5810
Practice Address - Country:US
Practice Address - Phone:561-831-8451
Practice Address - Fax:833-968-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty