Organization
CENTRAL FLORIDA CARDIOVASCULAR IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA G MCCLURE (CREDENTIALING SPECIALIST)
(281) 703-1258
Entity
Organization
Contact information
Practice address
1717 MAYO DR, TAVARES, FL 32778-4307
(352) 253-0003
(352) 253-0016
Mailing address
1717 MAYO DR, TAVARES, FL 32778-4307
(352) 253-0003
(352) 253-0016
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
03/04/2019
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