Advanced Diagnostic #2 LLC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

Legal business name

ADVANCED DIAGNOSTIC #2 LLC

Practice address

17971 Biscayne Blvd Ste 102
Aventura, FL 33160-2531

Phone

(786) 524-1040

NPI assigned

Sep 20, 2019

Organization subpart

No

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

Authorized official

Name

Anthony ZollicofferNPI 1912557380

Title

Owner

Phone

(347) 512-6859

Specialties & licenses 1

Addresses

Other names 1

• ADVANCED DIAGNOSTIC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Zollicoffer

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Aventura, FL
  • NPI 1912557380
  NPD Authorized official

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1104477231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17971 BISCAYNE BLVD STE 102",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17971 BISCAYNE BLVD STE 102",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602531",
            "telephone_number": "786-524-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTIC #2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "ZOLLICOFFER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-512-6859"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED DIAGNOSTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Medicine (Psychiatry & Neurology) Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.