# VASCULAR & ENDOVASCULAR SURGICAL CONSULTANTS OF ORLANDO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245350388
- **Authorized official:** DR. CHARLES S. GARNETTE M.D. (PRESIDENT)
- **Authorized official phone:** (407) 363-7760

## Contact information

- **Practice address:** 7412 DOCS GROVE CIR, ORLANDO, FL 32819-8010
- **Practice address phone:** (407) 363-7760
- **Practice address fax:** (407) 363-7473
- **Mailing address:** PO BOX 690998, ORLANDO, FL 32869-0998
- **Mailing address phone:** (407) 363-7760
- **Mailing address fax:** (407) 363-7473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME90094 | FL | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 03/07/2014

## 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 |