Organization
CARDIOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L BOLEN M.D. (CEO)
(407) 896-0054
Entity
Organization
Contact information
Practice address
2320 N ORANGE AVE, ORLANDO, FL 32804-5506
(407) 896-0054
(407) 898-4463
Mailing address
2320 N ORANGE AVE, ORLANDO, FL 32804-5506
(407) 896-0054
(407) 898-4463
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
3516-3
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035671900
—
FL
05
—
039549800
—
FL
05
—
048179300
—
FL
05
—
061472600
—
FL
01
—
99507
BLUE CROSS GROUP
FL
Enumeration date
05/22/2007
Last updated
11/17/2009
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