National Provider Identifier Database

KSC CARDIOLOGY PA
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

KSC CARDIOLOGY PA
320 1ST ST. N
WINTER HAVEN, FL33881
Phone: 863-508-1101
Fax: 863-299-6158
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for KSC CARDIOLOGY PA

NPI Number 1023035862
Legal business name
LBN
KSC CARDIOLOGY PA
Authorized official KOLLAGUNAT CHANDRASEKHAR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/17/2006
Last updated 01/30/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME64020

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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