Organization
CVAUSA ACO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK SOHIZAD (DIRECTOR)
(248) 974-7972
Entity
Organization
Contact information
Practice address
610 SYCAMORE ST STE 220, CELEBRATION, FL 34747-4996
(833) 728-2872
Mailing address
610 SYCAMORE ST STE 220, CELEBRATION, FL 34747-4996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
08/01/2023
Last updated
08/02/2023
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