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Organization
WINTER HAVEN CARDIOLOGY PA
Active
Organization
WINTER HAVEN CARDIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ROBERT JOHNSON M.D. (OWNER/PRESIDENT)
(863) 508-0202
Entity
Organization
Contact information
Practice address
320 1ST ST N, WINTER HAVEN, FL 33881-4113
(863) 294-5505
(863) 299-5660
Mailing address
320 1ST ST N, WINTER HAVEN, FL 33881-4113
(863) 294-5505
(863) 299-5660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME36699
FL
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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