MEDICARE: ADVANCED HEALTH CARDIOLOGY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician
2	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1285481945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEALTH CARDIOLOGY, LLC

Provider Business Mailing Address
First Line	:	1370 E VENICE AVE STE 102
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-9083
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1370 E VENICE AVE STE 102
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-9083
Country	:	US
Telephone Number	:	941-412-0026
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ZAID ALI
Credential	:
Telephone Number	:	407-724-8960

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	04/29/2025

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