Healthcare Provider Details

I. General information

NPI: 1285481945
Provider Name (Legal Business Name): ADVANCED HEALTH CARDIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 E VENICE AVE STE 102
VENICE FL
34285-9083
US

IV. Provider business mailing address

1370 E VENICE AVE STE 102
VENICE FL
34285-9083
US

V. Phone/Fax

Practice location:
  • Phone: 941-412-0026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ZAID ALI
Title or Position: CEO
Credential:
Phone: 407-724-8960