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Contact Information

KSC CARDIOLOGY PA
320 1ST ST. N
WINTER HAVEN, FL33881
 Phone: 863-508-1101
 Fax: 863-299-6158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KSC CARDIOLOGY PA · (Female)

NPI # 1023035862
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2006
Last updated 01/30/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME64020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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