Provider profile · NPI 1255310132
Advanced Interventional Cardiology Consultants
Internal Medicine, Cardiovascular Disease · Lake Wales, FL · NPI 1255310132 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jan 10, 2006
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 320 STATE ROAD 60 E | Lake Wales, FL 33853-3750 | 863-679-7985 |
| LOCATION | 320 STATE ROAD 60 E | Lake Wales, FL 33853-3750 | 863-679-7985 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.