Organization · NPI-2

Advanced 3-D Diagnostics INC

Clinic/Center · Orlando, FL

NPI number1427161256
StatusActive
Last updated in NPPESJun 15, 2016

Details

NPI
1427161256
Entity type
Organization (NPI-2)
Legal business name
Advanced 3-D Diagnostics INC
Organization subpart
No
Enumeration date
Aug 16, 2006
Last updated
Jun 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterP04000140182FLYes

Practice location

930 S Orange Avenue
Ste:1
Orlando, FL 32806

Phone 407-770-0039 · Fax 407-447-7509

Mailing address

930 S Orange Avenue
Ste:1
Orlando, FL 32806

Phone 407-770-0039 · Fax 407-447-7509

Authorized official

Jose D. Dilone
Office Manager
4077700039

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