Organization
ESSENTIAL MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHWIN KOLAVENTY (MANAGER)
(352) 620-5588
Entity
Organization
Contact information
Practice address
304 N MAIN ST, CHIEFLAND, FL 32626-0803
(352) 507-2000
(352) 633-4544
Mailing address
304 N MAIN ST, CHIEFLAND, FL 32626-0803
(352) 507-2000
(352) 633-4544
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
01/04/2022
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