Organization
LAWNWOOD CARDIOVASCULAR SURGERY LLC
Active
Parent organization
LAWNWOOD CARDIOVASCULAR SURGERY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWNWOOD CARDIOVASCULAR SURGERY LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
201 NW 82ND AVE STE 205, PLANTATION, FL 33324-1854
(954) 475-9535
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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