Organization
AD ASTRA MEDICAL GROUP PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NHEAN DAWANCE CHEA MD (CEO, MEDICAL DIRECTOR)
(917) 853-7642
Entity
Organization
Contact information
Practice address
3110 GRAND AVE, PINELLAS PARK, FL 33782-6151
(917) 853-7642
Mailing address
3110 GRAND AVE APT 3212, PINELLAS PARK, FL 33782-6170
(917) 853-7642
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/21/2022
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