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Organization
AD ASTRA MEDICAL GROUP PROFESSIONAL
Active
Organization
AD ASTRA MEDICAL GROUP PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NHEAN DAWANCE CHEA MD (CEO, MEDICAL DIRECTOR)
(917) 853-7642
Entity
Organization
Contact information
Practice address
3110 GRAND AVE, PINELLAS PARK, FL 33782-6151
(917) 853-7642
Mailing address
3110 GRAND AVE APT 3212, PINELLAS PARK, FL 33782-6170
(917) 853-7642
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/21/2022
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