KSC CARDIOLOGY PA
Medical Practice in Winter Haven, FL

License number
Florida ME64020
Category
Medical Practice
Type
Specialist
Owner
Name: DR. KOLLAGUNAT S CHANDRASEKHAR M.D.
Title: PRESIDENT
Phone: (863) 294-5505
Address
Address
320 1 St. N, Winter Haven, FL 33881
National Provider ID: 1023035862
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KSC CARDIOLOGY, PA

320 1 St N, Winter Haven, FL 33881

Industry:
Internist
Registration:
Dec 11, 2000
Phone:
(863) 294-5505 (Phone)
State ID:
P00000113084
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary:
Kollagunta S Chandrasekhar (President, Treasurer, Director, Secretary), 350 1 St N, Winter Haven, FL 33881 (Physical)
Agent:
Kollagunta Chandrasekhar,320 1 St N, Winter Haven, FL 33881 (Physical)
EIN:
593687416

Ksc Cardiology PA

60 2 St SE, Winter Haven, FL 33880

Industry:
Medical Doctor's Office
Nurse Practitioners:
K. S. Chandrasekhar (Cardiovascular, Director, Owner, President),Cindy Wolford (Nurse Practitioner)

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