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Organization
VASCULAR & ENDOVASCULAR SURGICAL CONSULTANTS OF ORLANDO PA
Active
Organization
VASCULAR & ENDOVASCULAR SURGICAL CONSULTANTS OF ORLANDO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES S. GARNETTE M.D. (PRESIDENT)
(407) 363-7760
Entity
Organization
Contact information
Practice address
7412 DOCS GROVE CIR, ORLANDO, FL 32819-8010
(407) 363-7760
(407) 363-7473
Mailing address
PO BOX 690998, ORLANDO, FL 32869-0998
(407) 363-7760
(407) 363-7473
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME90094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273603900
—
FL
01
—
37459
MEDICARE ID TYPE UNSPECIFIED
FL
01
—
46022
BLUE CROSS & BLUE SHIELD
FL
01
—
7519622
AETNA
FL
Enumeration date
03/30/2007
Last updated
03/07/2014
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