MEDICARE: ROBERT V. CARIDA II, M.D., P.A.

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
1	207RC0000X	Cardiovascular Disease Physician	ME85818	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1811183635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT V. CARIDA II, M.D., P.A.

Provider Business Mailing Address
First Line	:	5150 LINTON BLVD
Second Line	:	SUITE 220
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6543
Country	:	US
Telephone Number	:	561-499-2585
Fax Number	:	561-499-2968

Provider Business Practice Location Address
First Line	:	5150 LINTON BLVD
Second Line	:	SUITE 220
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6543
Country	:	US
Telephone Number	:	561-499-2585
Fax Number	:	561-499-2968

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT V. CARIDA II
Credential	:	M.D.
Telephone Number	:	561-499-2585

Provider Enumeration Date	:	09/16/2007
Last Update Date	:	09/18/2007

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