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Organization
VASANA CHEANVECHAI MD, LTD
Active
Organization
VASANA CHEANVECHAI MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE C DAVES (OFFICE MANAGER)
(330) 563-0617
Entity
Organization
Contact information
Practice address
4800 NE 20TH TER, STE 109, FT LAUDERDALE, FL 33308-4510
(954) 338-3021
(330) 563-0604
Mailing address
4800 NE 20TH TER, STE 109, FT LAUDERDALE, FL 33308-4510
(954) 338-3021
(330) 563-0604
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME70243
FL
Other
Enumeration date
01/14/2014
Last updated
09/05/2014
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