# ADVANCED HEART GROUP P L

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED CARDIOPULMONARY AND MEDICAL CONSULTANTS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457679953
- **Authorized official:** DR. AHMAD SHAMSIN MD (MANAGER)
- **Authorized official phone:** (386) 767-9585

## Contact information

- **Practice address:** 26 N BEACH ST, SUITE C, ORMOND BEACH, FL 32174-5663
- **Practice address phone:** (386) 675-6589
- **Practice address fax:** (386) 675-6589
- **Mailing address:** PO BOX 731138, ORMOND BEACH, FL 32173-1138
- **Mailing address phone:** (386) 675-6589
- **Mailing address fax:** (386) 675-6589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | ME 90030 | FL | Yes |

## Other

- **Enumeration date:** 05/07/2010
- **Last updated:** 05/07/2010