Organization
HEART STUDY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLANCA M RODRIGUEZ (GENERAL MANAGER)
(407) 834-1151
Entity
Organization
Contact information
Practice address
755 W STATE ROAD 434, SUITE A, LONGWOOD, FL 32750-5156
(407) 834-1151
(407) 834-2232
Mailing address
755 W STATE ROAD 434, SUITE A, LONGWOOD, FL 32750-5156
(407) 834-1151
(407) 834-2232
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
P97000031620
FL
2471S1302X
Sonography Radiologic Technologist
P97000031620
FL
261QR0200X
Radiology Clinic/Center
Primary
P97000031620
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208707
AMERIGROUP
FL
01
—
27291
WELLCARE
FL
01
—
40424912
UNITED HEALTHCARE
FL
01
—
470000208
MEDICARE RAILROAD
FL
01
—
7975214
AETNA
FL
01
—
9481963
CIGNA
FL
01
—
9721261
GHI
FL
01
—
V2099
BCBS
FL
Enumeration date
04/26/2006
Last updated
11/09/2010
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