OrganizationActive
Advanced Interventional Cardiology Consultants
NPI 1255310132 · Cardiovascular Disease Physician · Lake Wales, FL
Provider details
- NPI number
- 1255310132
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Boris Nunez, President(863) 679-7985
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
320 State Road 60 E
Lake Wales, FL 33853-3750
Phone: (863) 679-7985
Fax: (863) 679-1865
Approximate (ZIP-level) locationGet directions
Mailing address
320 State Road 60 E
Lake Wales, FL 33853-3750
Registry dates
- Enumerated
- 2006-01-10
- Last updated
- 2010-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.