# ADVANCED CARDIAC SCREENING, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033499280
- **Authorized official:** DR. BRIAN KELLY D.O. (OWNER/PRESIDENT)
- **Authorized official phone:** (407) 765-0732

## Contact information

- **Practice address:** 13000 AVALON LAKE DR, SUITE 100, ORLANDO, FL 32828-6434
- **Practice address phone:** (321) 235-0970
- **Practice address fax:** (321) 235-0971
- **Mailing address:** 1311 MAGNOLIA BAY CT, MAITLAND, FL 32751-6472
- **Mailing address phone:** (407) 765-0732
- **Mailing address fax:** (407) 599-6982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OS0005851 | FL | Yes |

## Other

- **Enumeration date:** 08/19/2011
- **Last updated:** 08/19/2011