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Organization

ADVANCED DIAGNOSTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY ZOLLICOFFER (ASSOCIATE PARTNER)
(305) 831-3193
Entity
Organization

Contact information

Practice address
13876 SW 56TH ST, SUITE 257, MIAMI, FL 33175-6021
(305) 831-3193
(305) 602-9828
Mailing address
13876 SW 56TH ST, SUITE 257, MIAMI, FL 33175-6021
(305) 831-3193
(305) 602-9828

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
5228
NY

Other

Enumeration date
08/03/2015
Last updated
08/03/2015
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