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NPI Code Detail

MEDICARE: CARDIOVASCULAR SOLUTIONS LLC

MEDICARE: CARDIOVASCULAR SOLUTIONS 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
1207RI0011XInterventional Cardiology Physician
2207RC0000XCardiovascular Disease PhysicianFL

General Provider Information

NPI Number : 1821296187
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR SOLUTIONS LLC
Provider Business Mailing Address
First Line : PO BOX 690358
Second Line :
City : ORLANDO
State : FL
Zip : 32869-0358
Country : US
Telephone Number : 407-249-3005
Fax Number : 407-249-3006
Provider Business Practice Location Address
First Line : 7806 LAKE UNDERHILL RD
Second Line : SUITE 104
City : ORLANDO
State : FL
Zip : 32822-8232
Country : US
Telephone Number : 407-249-3005
Fax Number : 407-249-3006
Authorized Official
Title or Position : OWNER
Name : SYED IMRAN ALI
Credential : M.D.
Telephone Number : 407-249-3005
Provider Enumeration Date : 07/10/2007
Last Update Date : 06/25/2008

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Directions to “CARDIOVASCULAR SOLUTIONS LLC ” Practice Location

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