Organization
CARDIOVASCULAR MOBILE ULTRASOUND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUBIA ORJUELA (PRESIDENT)
(813) 417-5888
Entity
Organization
Contact information
Practice address
13904 GLOVER PLACE, TAMPA, FL 33613-3126
(813) 417-5888
(813) 962-8350
Mailing address
13904 GLOVER PLACE, TAMPA, FL 33613-3126
(813) 417-5888
(813) 962-8350
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U3741
MEDICARE PTAN
—
01
—
V2964
BCBS
FL
Enumeration date
09/28/2007
Last updated
05/27/2008
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