Advanced Cardiac Diagnostics LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME74432 Issued in FL

Legal business name

ADVANCED CARDIAC DIAGNOSTICS LLC

Practice address

2507 Holly Point Rd E
Orange Park, FL 32073-5632

Phone

(904) 315-2004

NPI assigned

Oct 22, 2011

Last updated

Aug 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Andrew Illovsky, MD

Title

Chief Executive Officer

Phone

(904) 315-2004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1871879841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320670814",
            "telephone_number": "904-315-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 HOLLY POINT RD E",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735632",
            "telephone_number": "904-315-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIAC DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-22",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "ILLOVSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "904-315-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME74432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adesso Professional Services LLC (Amd Primary Care)
• Melanie Adkins
• Ashley Adkison
• Adorned by Ashley Hair Extensions
• Dawit Adugna, DDS
• Advanced Cardiovascular Care PLLC
• Advanced Pathways for Mental Health
• Advanced Patient Transportation, Inc.
• Afa Pain Specialists, Inc
• Affan Quadri MD, PA

• Cardiovascular Disease Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.