Organization
ADVANCED CARDIOVASCULAR CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH CIMINO M.D. (OWNER)
(402) 552-2800
Entity
Organization
Contact information
Practice address
12717 S 28TH AVE STE B, BELLEVUE, NE 68123-3232
(402) 502-3723
Mailing address
12717 S 28TH AVE STE B, BELLEVUE, NE 68123-3232
(402) 502-3723
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18713
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553750
—
IA
01
—
18713
STATE LICENSE #
NE
01
—
34442
IOWA LICENSE #
IA
Enumeration date
11/14/2006
Last updated
05/13/2014
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