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VASCULAR & ENDOVASCULAR SURGICAL CONSULTANTS OF ORLANDO PA NPI 1245350388


NPI Information

NPI: 1245350388
Provider Name: VASCULAR & ENDOVASCULAR SURGICAL CONSULTANTS OF ORLANDO PA
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
7412 DOCS GROVE CIR
ORLANDO, FL
ZIP 32819
Phone: (407) 363-7760
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VASCULAR & ENDOVASCULAR SURGICAL CONSULTANTS OF ORLANDO PA is a vascular surgery surgery in Orlando, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASCULAR & ENDOVASCULAR SURGICAL CONSULTANTS OF ORLANDO PA NPI is 1245350388. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7412 DOCS GROVE CIR
ORLANDO, FL
ZIP 32819-010
Phone: (407) 363-7760
Fax: (407) 363-7473

The provider's authorized official is Charles S. Garnette .
The authorized official title is President and has the following contact phone number (407) 363-7760.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 3/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryME90094FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
146022OTHERFLORIDABLUE CROSS & BLUE SHIELD
27519622OTHERFLORIDAAETNA
3K6341MEDICARE PINFLORIDA
437459OTHERFLORIDAMEDICARE ID TYPE UNSPECIFIED
5273603900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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