# FLORIDA CARDIO THORACIC & VASCULAR CONSULTANTS PA

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

## Provider details

- **NPI number:** 1467441758
- **Authorized official:** FAISAL B KHAN MD (PHYSICIAN OWNER)
- **Authorized official phone:** (813) 779-9500

## Contact information

- **Practice address:** 633 W LUMSDEN RD, BRANDON, FL 33511-5911
- **Practice address phone:** (813) 643-0033
- **Practice address fax:** (813) 643-3366
- **Mailing address:** 633 W LUMSDEN RD, BRANDON, FL 33511-5911
- **Mailing address phone:** (813) 643-0033
- **Mailing address fax:** (813) 643-3366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME88294 | FL | Yes |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 05/16/2008