Organization
LAKE CARDIOVASCULAR DIAGNOSTIC CENTER L.L.C
Active
Parent organization
CARDIAC AND VASCULAR CONSULTANTS P.A
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARDIAC AND VASCULAR CONSULTANTS P.A
Authorized official
DR. SHRIKANTH UPADYA M.D. (DIRECTOR)
(352) 633-1966
Entity
Organization
Contact information
Practice address
510 HIGHWAY 466, SUITE 105, LADY LAKE, FL 32159-6341
(352) 633-1966
Mailing address
1050 OLD CAMP RD, STE 270, THE VILLAGES, FL 32162-1762
(352) 633-1966
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/13/2013
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