Organization
HENDRY COUNTY HOSPITAL AUTHORITY
Active
Other names
Hendry Regional Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG R. CUDWORTH (CEO)
(863) 902-3032
Entity
Organization
Contact information
Practice address
532 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 902-3021
(863) 983-2026
Mailing address
532 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 902-3021
(863) 983-2026
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264832600
—
FL
Enumeration date
03/06/2009
Last updated
03/06/2009
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