| Advanced Diagnostic #2 Llc | |
|
17971 Biscayne Blvd Ste 102 Aventura FL 33160-2531 | |
| (786) 524-1040 | |
| Not Available |
| Full Name | Advanced Diagnostic #2 Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 17971 Biscayne Blvd Ste 102, Aventura, Florida |
| Authorized Official Name and Position | Anthony Zollicoffer (OWNER) |
| Authorized Official Contact | 3475126859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Diagnostic #2 Llc 17971 Biscayne Blvd Ste 102 Aventura FL 33160-2531 Ph: () - | Advanced Diagnostic #2 Llc 17971 Biscayne Blvd Ste 102 Aventura FL 33160-2531 Ph: (786) 524-1040 |
| NPI Number | 1104477231 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104477231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
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