Provider Demographics
NPI:1841404506
Name:CARDIOVASCULAR SONOGRAPHERS INC
Entity type:Organization
Organization Name:CARDIOVASCULAR SONOGRAPHERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-765-6542
Mailing Address - Street 1:3525 WEST KELLY PARK RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-5171
Mailing Address - Country:US
Mailing Address - Phone:407-886-4549
Mailing Address - Fax:407-628-0748
Practice Address - Street 1:3525 WEST KELLY PARK RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-5171
Practice Address - Country:US
Practice Address - Phone:407-886-4549
Practice Address - Fax:407-628-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6689335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268251600Medicaid
FL268251600Medicaid
FL=========OtherTIN