ADVANCED HEART CENTER LLC NPI 1649293523

NPI Information

ADVANCED HEART CENTER LLC is a cardiovascular disease internal medicine in Fort Myers, FL. The provider is 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. ADVANCED HEART CENTER LLC NPI is 1649293523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14051 METROPOLIS AVE
FORT MYERS, FL
ZIP 33912-330
Phone: (239) 334-7177
Fax: (239) 425-6521

The provider's authorized official is Mikki Smallwood .
The authorized official title is Office Manager and has the following contact phone number (239) 334-7177.

The CLIA number assigned to this NPI record is 10D2165243 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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