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Organization

ADVANCE CARDIOVASCULAR IMAGING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEJANDRO DE VILLIERS RDCS (PRESIDENT)
(305) 270-7855
Entity
Organization

Contact information

Practice address
10260 SW 56TH ST, SUITE 102, MIAMI, FL 33165-7021
(305) 270-7855
(305) 270-7857
Mailing address
10260 SW 56TH ST, SUITE 102, MIAMI, FL 33165-7021
(305) 270-7855
(305) 270-7857

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
261QR0208X
Mobile Radiology Clinic/Center
Primary
293D00000X
Physiological Laboratory
HCC5326
FL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Other

Enumeration date
05/18/2006
Last updated
05/10/2024
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