Provider Demographics
NPI:1023849940
Name:CVC ASC LLC
Entity type:Organization
Organization Name:CVC ASC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHRIKANTH
Authorized Official - Middle Name:P
Authorized Official - Last Name:UPADYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-726-8353
Mailing Address - Street 1:11674
Mailing Address - Street 2:MILTON LANE
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34484
Mailing Address - Country:US
Mailing Address - Phone:352-633-5016
Mailing Address - Fax:
Practice Address - Street 1:OXFORD SURGERY CENTER
Practice Address - Street 2:11674 MILTON LANE
Practice Address - City:OXFORD
Practice Address - State:FL
Practice Address - Zip Code:34484
Practice Address - Country:US
Practice Address - Phone:352-633-5016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty