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General NPI Number Information
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NPI Number | 1265760045
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Entity Type | Organization
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Legal Business Name | HEART CARE CFL, PLLC
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 3822 S WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32780-5845
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Country | US
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Telephone | 321-636-6914
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Fax | 321-636-6916
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Provider Business Mailing Address
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Address Line | 3822 S WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32780-5845
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Country | US
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Telephone | 321-636-6914
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Fax | 321-636-6916
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. RAVI RAO
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Credential | MD
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Telephone | 321-636-6914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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