Healthcare Provider Details

I. General information

NPI: 1891893822
Provider Name (Legal Business Name): D & O CARDIOVASCULAR DIAGNOSTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10240 SW 56 ST SUITE 112D
MIAMI FL
33165
US

IV. Provider business mailing address

PO BOX 650852
MIAMI FL
33265-0852
US

V. Phone/Fax

Practice location:
  • Phone: 305-554-9061
  • Fax: 305-554-9038
Mailing address:
  • Phone: 305-554-9061
  • Fax: 305-554-9038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246W00000X
TaxonomyCardiology Technician
License Number00012232
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code246X00000X
TaxonomyCardiovascular Specialist/Technologist
License Number00012232
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number81128
License Number StateFL

VIII. Authorized Official

Name: MR. ORLANDO JORGE JANE
Title or Position: PRESIDENT
Credential: RDMS RCS RVS CCT
Phone: 305-588-9853