Organization
ADVANCED DIAGNOSTIC SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON M WOMACK (CEO)
(352) 293-2810
Entity
Organization
Contact information
Practice address
3633 LITTLE RD STE 103, TRINITY, FL 34655-1815
(352) 293-2810
(727) 264-2117
Mailing address
3633 LITTLE RD STE 103, TRINITY, FL 34655-1815
(352) 293-2810
(727) 264-2117
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
12/07/2022
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