Organization
BWG MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SAVAS (DIRECTOR)
(321) 888-3325
Entity
Organization
Contact information
Practice address
1311 SUNDIAL PT, WINTER SPRINGS, FL 32708-6622
(321) 888-3325
(844) 239-2996
Mailing address
1311 SUNDIAL PT, WINTER SPRINGS, FL 32708-6622
(321) 888-3325
(844) 239-2996
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D2144401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2144401
CMS-CLIA
FL
Enumeration date
04/23/2018
Last updated
12/03/2019
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