Advanced Heart Group Pl
Internal Medicine, Cardiovascular Disease in Daytona Beach, FL. Organization (NPI-2).
NPI number1720247984
StatusActive
Last updated in NPPESJul 19, 2010
Details
- NPI
- 1720247984
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Heart Group Pl
- Organization subpart
- No
- Enumeration date
- Jun 3, 2008
- Last updated
- Jul 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | ME90030 | FL | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | ME97780 | FL | |
| 207RI0011X | Internal Medicine, Interventional Cardiology | ME79499 | FL | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | ME97780 | FL | |
| 207RS0012X | Internal Medicine, Sleep Medicine | ME97780 | FL | |
| 207UN0901X | Nuclear Medicine, Nuclear Cardiology | ME79499 | FL | |
| 207UN0901X | Nuclear Medicine, Nuclear Cardiology | ME90030 | FL |
Other names
- Advanced Cardiopulmonary & Medical Consultants (Doing Business As)
Practice location
305 Memorial Medical PkwySuite 305
Daytona Beach, FL 32117-5168
Phone 386-767-9585 · Fax 386-767-9769
Mailing address
Po Box 731138Ormond Beach, FL 32173-1138
Phone 386-767-9585 · Fax 386-677-5370
Authorized official
Arthur Warren Crossman
Secretary
3866777875
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