# VASCULAR SPECIALISTS OF CENTRAL FLORIDA INC

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

## Provider details

- **NPI number:** 1811976004
- **Authorized official:** DR. CHARLES S THOMPSON M.D. (OWNER)
- **Authorized official phone:** (407) 648-4323

## Contact information

- **Practice address:** 80 W MICHIGAN ST, ORLANDO, FL 32806-4453
- **Practice address phone:** (407) 648-4323
- **Practice address fax:** (407) 839-1493
- **Mailing address:** 80 W MICHIGAN ST, ORLANDO, FL 32806-4453
- **Mailing address phone:** (407) 648-4323
- **Mailing address fax:** (407) 648-0968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2006
- **Last updated:** 05/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 77005 | BC/BS OF FL ID NUMBER | FL |
| 01 | — | CK4843 | RAILROAD MEDICARE ID NUMB | FL |