Organization Name: | 3D CARDIO DIAGNOSTIC CENTER PA |
NPI Number: | 1154504363 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAGDA BLANCO (ADMINISTRATOR) |
Mailing Address: | 104 N Evers St Suite 101 Plant City |
State: | FL US |
Postal Code: | 335633300 |
Phone Number: | 8136592502 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2007 |
NPI Last Update Date: | 04/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |