VASCULAR SPECIALISTS OF CENTRAL FLORIDA INC NPI 1811976004

NPI Information

NPI: 1811976004
Provider Name: VASCULAR SPECIALISTS OF CENTRAL FLORIDA INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 10D2045873

Address:
80 W MICHIGAN ST
ORLANDO, FL
ZIP 32806
Phone: (407) 648-4323
Get Directions

VASCULAR SPECIALISTS OF CENTRAL FLORIDA INC 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 SPECIALISTS OF CENTRAL FLORIDA INC NPI is 1811976004. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

80 W MICHIGAN ST
ORLANDO, FL
ZIP 32806-453
Phone: (407) 648-4323
Fax: (407) 839-1493

The provider's authorized official is Charles S Thompson .
The authorized official title is Owner and has the following contact phone number (407) 648-4323.

The CLIA number assigned to this NPI record is 10D2045873 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2006 and was last updated on 5/6/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CK4843	OTHER	FLORIDA	RAILROAD MEDICARE ID NUMB
2	77005	OTHER	FLORIDA	BC/BS OF FL ID NUMBER
3	77005	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE ID NUMBER

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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