Organization
CRC SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALESH KAUSHAL MD, PHD (PHYSICIAN/OWNER)
(352) 559-1200
Entity
Organization
Contact information
Practice address
3426 NW 43RD ST STE A, GAINESVILLE, FL 32606-8156
(352) 559-1200
(352) 559-1210
Mailing address
3426 NW 43RD ST STE A, GAINESVILLE, FL 32606-8156
(352) 559-1200
(352) 559-1210
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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