NPIMap

Organization Active NPI

Advanced Cardiac Screening, PLLC

  • Medical Specialty Clinic/Center
  • Orlando, FL
National Provider Identifier
1033499280
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
OS0005851 Issued in FL
Legal business name
ADVANCED CARDIAC SCREENING, PLLC
Practice address
13000 Avalon Lake Dr
Suite 100
Orlando, FL 32828-6434
Phone
(321) 235-0970
Fax
(321) 235-0971
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian Kelly, D.O.
Title
Owner/President
Phone
(407) 765-0732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X OS0005851 FL Primary

Addresses

Primary practice location

13000 Avalon Lake Dr
Suite 100
Orlando, FL 32828-6434

Mailing address

1311 Magnolia Bay CT
Maitland, FL 32751-6472
Phone (407) 765-0732

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1033499280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAGNOLIA BAY CT",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516472",
            "telephone_number": "407-765-0732",
            "fax_number": "407-599-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 AVALON LAKE DR",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286434",
            "telephone_number": "321-235-0970",
            "fax_number": "321-235-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIAC SCREENING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-765-0732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "OS0005851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.