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Organization
FLORIDA HEART AND VASCULAR SURGEONS, PA
Active
Organization
FLORIDA HEART AND VASCULAR SURGEONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVA D. WIDDIS (ASSOCIATE EXECUTIVE DIRECTOR)
(352) 867-8311
Entity
Organization
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 867-8311
(352) 622-5771
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-8311
(352) 622-5771
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
06/13/2006
Last updated
01/14/2016
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