Organization
ADVANCED HEART CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKKI SMALLWOOD (OFFICE MANAGER)
(239) 334-7177
Entity
Organization
Contact information
Practice address
14051 METROPOLIS AVE, FORT MYERS, FL 33912-4330
(239) 334-7177
(239) 425-6521
Mailing address
14051 METROPOLIS AVE, FORT MYERS, FL 33912-4330
(239) 334-7177
(239) 425-6521
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
FL
Other
Enumeration date
07/25/2006
Last updated
12/20/2007
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