Organization
ADVANCED CARDIAC & VASCULAR CENTER PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A HEARN MD (MD/ OWNER)
(941) 235-4646
Entity
Organization
Contact information
Practice address
2625 TAMIAMI TRL, UNIT 5, PORT CHARLOTTE, FL 33952-6478
(941) 235-4646
(941) 235-4655
Mailing address
2625 TAMIAMI TRL, UNIT 5, PORT CHARLOTTE, FL 33952-6478
(941) 235-4646
(941) 235-4655
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME83907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME83907
OWNERS MEDICAL LICENSE
FL
Enumeration date
01/29/2008
Last updated
01/29/2008
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