Healthcare Provider Details

I. General information

NPI: 1245301233
Provider Name (Legal Business Name): CARDIOLOGY & MEDICINE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 7TH TER
VERO BEACH FL
32960-6571
US

IV. Provider business mailing address

3715 7TH TER
VERO BEACH FL
32960-6571
US

V. Phone/Fax

Practice location:
  • Phone: 772-770-2664
  • Fax:
Mailing address:
  • Phone: 772-770-2664
  • Fax: 772-770-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. NANCY CHO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 772-770-2664