Organization
NAWADA AMBULATORY SURGICAL CENTER LLC
Active
Other names
Nawada Plastic and Cosmetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANNAKESHAVA U NAWADA M.D. (OWNER/ MEDICAL DIRECTOR)
(863) 293-2924
Entity
Organization
Contact information
Practice address
1121 1ST ST S, WINTER HAVEN, FL 33880-3902
(863) 293-2924
(863) 294-3450
Mailing address
1121 1ST ST S, WINTER HAVEN, FL 33880-3902
(863) 293-2924
(863) 294-3450
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ME29078
FL
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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