10D1087515 CLIA NUMBER - ADVANCED CARDIAC CARE INC

Laboratory Demographics

CLIA Number: 10D1087515

Facility Name: ADVANCED CARDIAC CARE INC

Facility Address:
10945 DYLAN LOREN CIR STE A & B
ORLANDO, FL
ZIP 32825
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Facility Phone Number: 407 249-3281

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134396872

Taxonomy: 207RC0000X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	10D1087515
LAB Type	Physician Office
Facility Name	ADVANCED CARDIAC CARE INC
Street	10945 DYLAN LOREN CIR STE A & B
City	ORLANDO
State	FL
ZIP	32825
Phone	407 249-3281
CertificateType	4
CertificateEffectiveDate	8/5/2022
CertificateExpirationDate	8/4/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024