Organization
CARDIOLOGY CONSULTANTS,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BOLEN M.D. (CEO)
(407) 896-0054
Entity
Organization
Contact information
Practice address
2320 N ORANGE AVE, ORLANDO, FL 32804-5506
(407) 896-0054
(407) 898-4463
Mailing address
2320 N ORANGE AVE, ORLANDO, FL 32804-5506
(407) 896-0054
(407) 898-4463
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
3516-3
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05909
BLUE CROSS
FL
01
—
08208
BLUE CROSS
FL
01
—
47318
BLUE CROSS
FL
01
—
48856
BLUE CROSS
FL
01
—
99507
BLUE CROSS GROUP
FL
Enumeration date
10/28/2008
Last updated
10/28/2008
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