Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Indian River Cardiology PA

Organization Cardiovascular Disease Physician · NPI 1124069091

Indian River Cardiology PA is a Cardiovascular Disease Physician in Vero Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3607 15th Ave Ste A
Vero Beach, FL 32960-6513
Phone: (772) 562-8522
Fax: (772) 562-0317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME0050599 (FL)

Record details

NPI number1124069091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Celano — Owner · (772) 562-8522
NPI enumeratedJune 9, 2006
Last updated in NPPESSeptember 28, 2011
Mailing address3607 15th Ave Ste A, Vero Beach, FL 32960-6513

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