OrganizationActive
Advanced Cardiac Diagnostics LLC
NPI 1871879841 · Cardiovascular Disease Physician · Orange Park, FL
Provider details
- NPI number
- 1871879841
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Illovsky, Chief Executive Officer(904) 315-2004
- License
- ME74432 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2507 Holly Point Rd E
Orange Park, FL 32073-5632
Phone: (904) 315-2004
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 814
Orange Park, FL 32067-0814
Registry dates
- Enumerated
- 2011-10-22
- Last updated
- 2013-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.