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Organization
ADVANCED CARDIAC SCREENING, PLLC
Active
Organization
ADVANCED CARDIAC SCREENING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KELLY D.O. (OWNER/PRESIDENT)
(407) 765-0732
Entity
Organization
Contact information
Practice address
13000 AVALON LAKE DR, SUITE 100, ORLANDO, FL 32828-6434
(321) 235-0970
(321) 235-0971
Mailing address
1311 MAGNOLIA BAY CT, MAITLAND, FL 32751-6472
(407) 765-0732
(407) 599-6982
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OS0005851
FL
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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