3D Cardio Diagnostic Center PA

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

3D CARDIO DIAGNOSTIC CENTER PA

Practice address

104 N Evers St
Suite 101
Plant City, FL 33563-3300

Phone

(813) 659-2502

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Magda Blanco

Title

Administrator

Phone

(813) 659-2502

Specialties & licenses 1

Addresses

Practitioners 2

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

• Kimberly Boully, PT

  • Physical Therapist
  • Plant City, FL
  • NPI 1649405044
  NPD (past)
• Michael James Boully Jr., P.T.

  • Physical Therapist
  • Sun City Center, FL
  • NPI 1134249592
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1154504363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N EVERS ST",
            "address_2": "SUITE 101",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633300",
            "telephone_number": "813-659-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N EVERS ST",
            "address_2": "SUITE 101",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633300",
            "telephone_number": "813-659-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D CARDIO DIAGNOSTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "MAGDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-659-2502",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A New Start - Florida, LLC
• A.H. Zehra Quadri, MD
• Ab Homecare FL, LLC
• Fatima Abdullah, CERTIFIED PHLEBOTOMI
• Maryam Abid

• Other Specialist/Technologist in Plant City, FL
• Providers in Plant City, FL by specialty
• Other Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.