| Premier Cardiology Of Vero Beach | |
|
787 37th St Ste 250 Vero Beach FL 32960-7305 | |
| (772) 494-0794 | |
| (772) 494-0745 |
| Full Name | Premier Cardiology Of Vero Beach |
|---|---|
| Speciality | Internal Medicine |
| Location | 787 37th St Ste 250, Vero Beach, Florida |
| Authorized Official Name and Position | Vikranth Gongidi (CEO) |
| Authorized Official Contact | 7724940794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Cardiology Of Vero Beach 787 37th St Ste 250 Vero Beach FL 32960-7305 Ph: (772) 494-0794 | Premier Cardiology Of Vero Beach 787 37th St Ste 250 Vero Beach FL 32960-7305 Ph: (772) 494-0794 |
| NPI Number | 1114701497 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 8224482922 |
|---|---|
| Medicare Enrollment ID | O20230928004130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114701497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Vikranth Reddy Gongidi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609098581 PECOS PAC ID: 1850578733 Enrollment ID: I20120717000217 |
| Provider Name | Amanda Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093376709 PECOS PAC ID: 9133455132 Enrollment ID: I20190730000240 |
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