Organization
ADVANCED DIAGNOSTIC #2 LLC
Active
Organization
ADVANCED DIAGNOSTIC #2 LLC
Active
Other names
ADVANCED DIAGNOSTIC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ZOLLICOFFER (OWNER)
(347) 512-6859
Entity
Organization
Contact information
Practice address
17971 BISCAYNE BLVD STE 102, AVENTURA, FL 33160-2531
(786) 524-1040
Mailing address
17971 BISCAYNE BLVD STE 102, AVENTURA, FL 33160-2531
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
08/20/2024
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