Organization
COMPLETE CARDIOLOGY CARE, P.A.
Active
Other names
Eric L.S. Lo, MD., PA
Organization subpart
No
Provider details
NPI number
Authorized official
HUIJIAN JAMES WANG MD (OWNER)
(386) 672-1023
Entity
Organization
Contact information
Practice address
1240 W GRANADA BLVD FL 2, ORMOND BEACH, FL 32174-5915
(386) 672-1023
(386) 263-2996
Mailing address
PO BOX 291427, PORT ORANGE, FL 32129-1427
(386) 672-1023
(386) 263-2996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME72993
FL
207RC0000X
Cardiovascular Disease Physician
ME112914
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
ME101341
FL
305S00000X
Point of Service
ME72993
FL
Other
Enumeration date
06/24/2008
Last updated
06/02/2022
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