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NPI Code Detail

MEDICARE: CARDIOVASCULAR INSTITUTE OF ORLANDO, PLLC

MEDICARE: CARDIOVASCULAR INSTITUTE OF ORLANDO, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianME105611FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215267497
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR INSTITUTE OF ORLANDO, PLLC
Provider Business Mailing Address
First Line : PO BOX 781729
Second Line :
City : ORLANDO
State : FL
Zip : 32878-1729
Country : US
Telephone Number : 407-480-4445
Fax Number : 407-480-4446
Provider Business Practice Location Address
First Line : 1111 S SEMORAN BLVD STE A
Second Line :
City : ORLANDO
State : FL
Zip : 32807-1480
Country : US
Telephone Number : 407-480-4445
Fax Number : 407-480-4446
Authorized Official
Title or Position : OWNER
Name : DR. SUVARCHALA DEVI DARA
Credential : MD
Telephone Number : 407-480-4445
Provider Enumeration Date : 01/11/2010
Last Update Date : 11/01/2021

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Directions to “CARDIOVASCULAR INSTITUTE OF ORLANDO, PLLC ” Practice Location

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