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Organization

FLORIDA CV ALLIANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINOD RAXWAL MD (OWNER)
(727) 255-0920
Entity
Organization

Contact information

Practice address
14100 FIVAY RD STE 130, HUDSON, FL 34667-7159
(727) 255-0920
(727) 255-5560
Mailing address
14100 FIVAY RD STE 130, HUDSON, FL 34667-7159
(727) 255-0920
(727) 255-5560

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000278100
FL
Enumeration date
04/06/2021
Last updated
04/06/2021
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