Organization
CARDIOVASCULAR DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDELIO MIRABOLO (PRESIDENT)
(305) 595-4136
Entity
Organization
Contact information
Practice address
10621 N KENDALL DR, SUITE 101, MIAMI, FL 33176-1530
(305) 595-4136
(305) 596-0668
Mailing address
10621 N KENDALL DR, SUITE 101, MIAMI, FL 33176-1530
(305) 595-4136
(305) 596-0668
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
FL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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