Organization
WINTER HAVEN CARDIOVASCULAR ASSOCIATES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVA D. WIDDIS (ADMINISTRATOR)
(352) 787-9838
Entity
Organization
Contact information
Practice address
200 AVENUE F NE, 2 MAIN ENDO HALL #4, WINTER HAVEN, FL 33881-4131
(863) 294-8400
(863) 294-8536
Mailing address
700 DOCTORS CT, LEESBURG, FL 34748-7314
(352) 787-9838
(352) 787-8705
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273688800
—
FL
01
—
98928
BCBS OF FLORIDA
FL
Enumeration date
06/13/2006
Last updated
06/05/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us