Organization
ADVANCED DIAGNOSTIC SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON M WOMACK (CEO)
(727) 707-3631
Entity
Organization
Contact information
Practice address
19902 GUNN HWY, ODESSA, FL 33556-4506
(727) 707-3631
Mailing address
19902 GUNN HWY, ODESSA, FL 33556-4506
(727) 707-3631
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
HCC9256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V006K
BCBS
FL
Enumeration date
04/01/2011
Last updated
07/28/2026
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