| NPI | 1073151064 |
|---|---|
| Other Name | LVI WINTER HAVEN OFFICE |
| Entity Type | Organization |
| Authorized Contact | JOYCE VOLLMER CEO 863-577-0303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |