Organization
ADVANCED DIAGNOSTIC SOLUTIONS INC
Active
Other names
allurehealth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON M WOMACK (CEO)
(352) 293-2810
Entity
Organization
Contact information
Practice address
3633 LITTLE RD STE 103, TRINITY, FL 34655-1815
(352) 293-2810
(727) 264-2117
Mailing address
3633 LITTLE RD STE 103, TRINITY, FL 34655-1815
(352) 293-2810
(727) 264-2117
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002AN
BCBS
FL
Enumeration date
07/06/2011
Last updated
12/07/2022
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