Organization
WEST ORANGE VASCULAR CENTER LLC
Active
Other names
WEST ORANGE VASCULAR CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANJI AWOSIKA M.D. (MEMBER MANAGER)
(407) 927-5873
Entity
Organization
Contact information
Practice address
1210 E PLANT ST, STE 140, WINTER GARDEN, FL 34787-2996
(407) 297-8408
(407) 297-8409
Mailing address
1210 E PLANT ST, STE 140, WINTER GARDEN, FL 34787-2996
(407) 297-8408
(407) 297-8409
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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