Organization
OUR HEART AND VASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOPAL KISHORE CHALAVARYA M.D (PRESIDENT)
(727) 869-5100
Entity
Organization
Contact information
Practice address
13740 OFFICE PARK CT, HUDSON, FL 34667-7145
(727) 869-5100
(727) 869-5166
Mailing address
13740 OFFICE PARK CT, HUDSON, FL 34667-7145
(727) 869-5100
(727) 869-5166
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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