Organization
CENTRAL FLORIDA CARDIOLOGY & VASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRABHAKARA B KUNAMNENI MD (PRESIDENT)
(352) 343-1158
Entity
Organization
Contact information
Practice address
1815 SALK AVE, TAVARES, FL 32778-4311
(352) 343-1158
(352) 343-8106
Mailing address
PO BOX 1289, TAVARES, FL 32778-1289
(352) 343-1158
(352) 343-8106
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
04/12/2011
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