Active NPI
Cardiac Care Center Inc
- Cardiovascular Disease Physician
- Palatka, FL
National Provider Identifier
1023029154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME78625
- Legal business name
- CARDIAC CARE CENTER INC
- Practice address
- 700 Zeagler Dr
Suite 2
Palatka, FL 32177 - Phone
- (386) 326-3633
- Fax
- (386) 312-5080
- NPI assigned
- Aug 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal Dreyer
- Title
- Office Manager
- Phone
- (386) 326-3633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME78625 | FL | Primary |
Addresses
Primary practice location
700 Zeagler Dr
Suite 2
Palatka, FL 32177
Mailing address
700 Zeagler Dr Ste 2
Palatka, FL 32177-3826
Phone (386) 326-3633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47147 | Other | FL | BLUE CROSS/BLUE SHIELD FL |
| 257396200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100429000766 | FL | Part B Supplier - Clinic/Group Practice | 8224108436 |
Receives reassigned benefits from 3 practitioners Practice locations: Lake City, FL; Live Oak, FL; Ocala, FL; Palatka, FL; Starke, FL |
National Provider Directory
National Provider DirectoryLocations
1211 SW Bascom Norris Dr
Lake City, FL 32025
Phone (386) 326-3633
107F Edwards Rd
Starke, FL 32091
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Palatka, FL
- NPI 1982762712
Cardiovascular Disease, FL
-
- Medical Physician Assistant
- Pembroke Pines, FL
- NPI 1710249545
FL
-
- Primary Care Nurse Practitioner
- Alachua, FL
- NPI 1942621719
-
- Neurology Physician
- Starke, FL
- NPI 1497724421
-
- Family Nurse Practitioner
- Live Oak, FL
- NPI 1467643163
-
- Internal Medicine Physician
- Live Oak, FL
- NPI 1083881668
-
- Family Nurse Practitioner
- Live Oak, FL
- NPI 1114574548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1023029154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ZEAGLER DR STE 2",
"city": "PALATKA",
"state": "FL",
"postal_code": "321773826",
"telephone_number": "386-326-3633",
"fax_number": "386-312-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ZEAGLER DR",
"address_2": "SUITE 2",
"city": "PALATKA",
"state": "FL",
"postal_code": "32177",
"telephone_number": "386-326-3633",
"fax_number": "386-312-5080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIAC CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "DREYER",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "386-326-3633"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME78625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD FL",
"identifier": "47147",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257396200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.