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Organization

LAWNWOOD CARDIOVASCULAR SURGERY LLC

Active
Parent organization
LAWNWOOD CARDIOVASCULAR SURGERY LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAWNWOOD CARDIOVASCULAR SURGERY LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization

Contact information

Practice address
3683 S MIAMI AVE STE 500, MIAMI, FL 33133-4238
(786) 428-1059
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
09/07/2021
Last updated
09/07/2021
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