Organization
WINTER HAVEN HOSPITAL INC
Active
Other names
WH Physician Billing EKG
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA A GORKEN (VP, PFS)
(727) 281-9390
Entity
Organization
Contact information
Practice address
200 AVENUE F NE FL 2, WINTER HAVEN, FL 33881-4131
(863) 293-1121
Mailing address
2995 DREW STREET, EAST BLDG 2ND FLOOR, CLEARWATER, FL 33759
(727) 281-9390
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010169904
—
FL
Enumeration date
10/19/2018
Last updated
08/06/2024
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