Organization
PANACEA HEALTH SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHWIN KOLAVENTY (MANAGING MEMBER)
(352) 414-2270
Entity
Organization
Contact information
Practice address
304 N MAIN ST, CHIEFLAND, FL 32626-0803
(352) 414-2270
Mailing address
6600 SW HIGHWAY 200 STE 300, OCALA, FL 34476-5554
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/16/2019
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