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Organization
NAWADA AMBULATORY SURGICAL CENTER LLC
Active
Organization
NAWADA AMBULATORY SURGICAL CENTER LLC
Active
Other names
Nawada Plastic and Cosmetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANNAKESHAVA U NAWADA M.D. (OWNER/ MEDICAL DIRECTOR)
(863) 293-2924
Entity
Organization
Contact information
Practice address
1121 1ST ST S, WINTER HAVEN, FL 33880-3902
(863) 293-2924
(863) 294-3450
Mailing address
1121 1ST ST S, WINTER HAVEN, FL 33880-3902
(863) 293-2924
(863) 294-3450
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ME29078
FL
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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