Organization
CARDIOMED IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MONTES (REGISTERED AGENT)
(908) 303-3911
Entity
Organization
Contact information
Practice address
1016 MANN ST, KISSIMMEE, FL 34741-4121
(908) 303-3911
(561) 392-3793
Mailing address
1016 MANN ST, KISSIMMEE, FL 34741-4121
(908) 303-3911
(561) 392-3793
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
L15000171138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L15000171138
DOCUMENT NUMBER
FL
Enumeration date
02/20/2017
Last updated
02/20/2017
About Stedi
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