Healthcare Provider Details

I. General information

NPI: 1841404506
Provider Name (Legal Business Name): CARDIOVASCULAR SONOGRAPHERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 09/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 WEST KELLY PARK RD
APOPKA FL
32712-5171
US

IV. Provider business mailing address

3525 WEST KELLY PARK RD
APOPKA FL
32712-5171
US

V. Phone/Fax

Practice location:
  • Phone: 407-886-4549
  • Fax: 407-628-0748
Mailing address:
  • Phone: 407-886-4549
  • Fax: 407-628-0748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License NumberHCC6689
License Number StateFL

VIII. Authorized Official

Name: DONALD R EMERY
Title or Position: DIRECTOR OF OPERATIONS/OWNER
Credential:
Phone: 407-765-6542