Organization
MSMC INTERVENTIONAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE CHUTKAN (SR VICE PRESIDENT)
(305) 674-2662
Entity
Organization
Contact information
Practice address
3401 NORTHSIDE DR, KEY WEST, FL 33040-4238
(305) 294-8334
Mailing address
PO BOX 10550, MIAMI, FL 33101-0550
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
09/22/2021
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