Organization
FLORIDA HEARTS LLC
Active
Parent organization
PANACEA HEALTH SYSTEMS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PANACEA HEALTH SYSTEMS LLC
Authorized official
ASHWIN KOLAVENTY (OWNER)
(352) 414-2270
Entity
Organization
Contact information
Practice address
6600 SW HIGHWAY 200 STE 300, OCALA, FL 34476-5554
(352) 237-4116
Mailing address
6600 SW HIGHWAY 200 STE 300, OCALA, FL 34476-5554
(352) 237-4116
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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