# ORLANDO CARDIOVASCULAR INSTITUTE P A

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

## Provider details

- **NPI number:** 1790802395
- **Authorized official:** MRS. MARISEL CARMONA-TORRES (MANAGER)
- **Authorized official phone:** (407) 228-7373

## Contact information

- **Practice address:** 2501 N ORANGE AVE, SUITE 308, ORLANDO, FL 32804-4603
- **Practice address phone:** (407) 228-7373
- **Practice address fax:** (407) 228-7393
- **Mailing address:** PO BOX 3749, ORLANDO, FL 32802-3749
- **Mailing address phone:** (407) 228-7373
- **Mailing address fax:** (407) 228-7393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME62668 | FL | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 07/20/2007