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Organization

ADVANCED HEART GROUP PL

Active
Other names
ADVANCED CARDIOPULMONARY & MEDICAL CONSULTANTS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARTHUR WARREN CROSSMAN MD (SECRETARY)
(386) 677-7875
Entity
Organization

Contact information

Practice address
305 MEMORIAL MEDICAL PKWY, SUITE 305, DAYTONA BEACH, FL 32117-5168
(386) 767-9585
(386) 767-9769
Mailing address
PO BOX 731138, ORMOND BEACH, FL 32173-1138
(386) 767-9585
(386) 677-5370

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME90030
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME97780
FL
207RI0011X
Interventional Cardiology Physician
ME79499
FL
207RP1001X
Pulmonary Disease Physician
ME97780
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME97780
FL
207UN0901X
Nuclear Cardiology Physician
ME79499
FL
207UN0901X
Nuclear Cardiology Physician
ME90030
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261174100
FL
05
269974500
FL
05
277778900
FL
Enumeration date
06/03/2008
Last updated
07/19/2010
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