# VASCULAR AND THORACIC SURGERY OF CENTRAL FLORIDA

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

## Provider details

- **NPI number:** 1821038084
- **Authorized official:** MRS. SHERRY C PHIPPS (OFFICE MGR)
- **Authorized official phone:** (407) 628-1300

## Contact information

- **Practice address:** 180 S KNOWLES AVE, SUITE 1, WINTER PARK, FL 32789-7009
- **Practice address phone:** (407) 628-1300
- **Practice address fax:** (407) 628-2788
- **Mailing address:** 180 S. KNOWLES AVENUE, SUITE 1, WINTER PARK, FL 32789-7009
- **Mailing address phone:** (407) 628-1300
- **Mailing address fax:** (407) 628-2788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME40876 | FL | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 03/16/2010
