Keyhole Surgery Center-Winter Haven LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KEYHOLE SURGERY CENTER-WINTER HAVEN LLC

Practice address

1121 1St St S
Winter Haven, FL 33880-3902

Phone

(877) 817-8346

Fax

(321) 286-0517

NPI assigned

Feb 2, 2021

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Obinna U Nwobi, MDNPI 1912028853

Title

Owner

Phone

(877) 817-8346

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Obinna Uchenna Nwobi, MD

  • Vascular Surgery Physician
  • Winter Haven, FL
  • NPI 1912028853
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1912598939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803902",
            "telephone_number": "877-817-8346",
            "fax_number": "321-286-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803902",
            "telephone_number": "877-817-8346",
            "fax_number": "321-286-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYHOLE SURGERY CENTER-WINTER HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "NWOBI",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-817-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Keown, MD
• Kesha Health Care Service,LLC
• Kimberly Sue Kettinger, PTA
• Kevin L. Henne O.D.
• Kevin T. Barlow, PA (Winter Haven Audiology)
• Farah Khan, MD
• Mehak Khan, OD
• Kristin Helen Kiddy, COTA/L
• Kidney Care Center of Winter Haven LLC
• Elizabeth Anne Kiel, RN

• Ambulatory Surgical Clinic/Center in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.