Active NPI
Cardiovascular Care Centers PA
- Specialist
- Orlando, FL
National Provider Identifier
1295907343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0065144
- Legal business name
- CARDIOVASCULAR CARE CENTERS PA
- Practice address
- 100 W Gore St
Suite 403
Orlando, FL 32806 - Phone
- (407) 872-8588
- Fax
- (407) 872-1875
- NPI assigned
- Mar 28, 2008
- 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
- Dr. Caleb Mercado, M.D.
- Title
- Cardiologist
- Phone
- (407) 872-8588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0065144 | FL | Primary |
Addresses
Primary practice location
100 W Gore St
Suite 403
Orlando, FL 32806
Mailing address
100 W Gore St Ste 403
Orlando, FL 32806-1049
Phone (407) 872-8588
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009792100 | Medicaid | FL | |
| K4843 | Other | FL | PTAN |
National Provider Directory
National Provider DirectoryLocations
100 W Gore St
Ste 403
Orlando, FL 32806
Phone (407) 872-8588
100 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529366400000",
"number": "1295907343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W GORE ST STE 403",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061049",
"telephone_number": "407-872-8588",
"fax_number": "407-872-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W GORE ST",
"address_2": "SUITE 403",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32806",
"telephone_number": "407-872-8588",
"fax_number": "407-872-1875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR CARE CENTERS PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-28",
"last_updated": "2018-06-19",
"status": "A",
"authorized_official_last_name": "MERCADO",
"authorized_official_first_name": "CALEB",
"authorized_official_title_or_position": "CARDIOLOGIST",
"authorized_official_telephone_number": "407-872-8588",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0065144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009792100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "K4843",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Cardiology Associates of Orlando
- Cardiology Consultants
- Cardiology Consultants,P.a.
- Cardiosom, LLC
- Cardiovascular Advantages of Florida, LLC
- Cardiovascular Centers LLC
- Cardiovascular Health Center PA
- Cardiovascular Institute of Orlando, PLLC
- Cardiovascular Interventions PA
- Cardiovascular Partners PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.