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INDIAN RIVER CARDIOLOGY PA
NPI 1124069091
Internal Medicine - Cardiovascular Disease in Vero Beach, FL

Active since June 09, 2006CLIA 10D0944641 · Waiver
3607 15TH AVE STE A, VERO BEACH, FL 32960(772) 562-8522(772) 562-0317 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indian River Cardiology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIAN RIVER CARDIOLOGY PA (NPI 1124069091) is a healthcare organization registered as a cardiovascular disease in Vero Beach, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Charles N Celano, Owner, as its authorized official.

NPPES Registry Identity

NPI1124069091
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameINDIAN RIVER CARDIOLOGY PA
Location Address3607 15TH AVE STE AVero Beach, FL 32960-6513
Mailing Address3607 15th Ave Ste AVero Beach, FL 32960-6513 · (772) 562-8522 · Fax (772) 562-0317
Phone(772) 562-8522
Fax(772) 562-0317
Organization SubpartNo
Authorized OfficialCharles N CelanoOwner · (772) 562-8522
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 28, 2011
✔ NPI 1124069091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME0050599
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3607 15TH AVE STE A, Vero Beach, FL 32960
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINK1239FL
Medicaid062571000FL
Medicare ID-Type UnspecifiedK1239FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0944641

Indian River Cardiology PA · Vero Beach, FL
Active · expires Apr 15, 2028
CLIA Number10D0944641
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorCharlie Celano MD
Laboratory Phone(772) 360-1799
Laboratory LocationIndian River Cardiology PA3607 15th Avenue Suite A, Vero Beach, FL 32960
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indian River Cardiology PA's NPI number?

The NPI number for Indian River Cardiology PA is 1124069091. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is Indian River Cardiology PA located?

Indian River Cardiology PA is located at 3607 15th Ave Ste A, Vero Beach, FL 32960. The listed phone number is (772) 562-8522.

What is Indian River Cardiology PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Indian River Cardiology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0944641) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Indian River Cardiology PA was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.