Organization
KSC CARDIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOLLAGUNAT S CHANDRASEKHAR M.D. (PRESIDENT)
(863) 294-5505
Entity
Organization
Contact information
Practice address
320 1ST ST. N, WINTER HAVEN, FL 33881
(863) 508-1101
(863) 299-6158
Mailing address
320 1ST ST N, WINTER HAVEN, FL 33881
(863) 508-1101
(863) 299-6158
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME64020
FL
Other
Enumeration date
07/17/2006
Last updated
01/30/2017
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