Provider Demographics
NPI:1336998996
Name:QOROS FLORIDA CARDIOLOGY ASSOCIATES, P.A.
Entity type:Organization
Organization Name:QOROS FLORIDA CARDIOLOGY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:VANIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-273-4750
Mailing Address - Street 1:2045 W GRAND AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-1577
Mailing Address - Country:US
Mailing Address - Phone:312-273-4750
Mailing Address - Fax:
Practice Address - Street 1:1745 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1876
Practice Address - Country:US
Practice Address - Phone:407-841-7151
Practice Address - Fax:407-648-2259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty