Organization
CFHS SUB II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-5019
Entity
Organization
Contact information
Practice address
6700 LAKE NONA BLVD, ORLANDO, FL 32827-7729
(689) 216-8000
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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