Organization
ADVANCED HEART AND VASCULAR MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIEM WILLIAM BARSOUM MD (PRESIDENT)
(407) 804-9199
Entity
Organization
Contact information
Practice address
1355 S INTERNATIONAL PKWY, SUITE 1481, LAKE MARY, FL 32746-1694
(407) 804-9199
(407) 804-9393
Mailing address
PO BOX 951989, LAKE MARY, FL 32795-1989
(407) 804-9199
(407) 804-9393
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
FL
Other
Enumeration date
02/26/2014
Last updated
05/16/2014
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