Organization
FLORIDA CARDIO THORACIC & VASCULAR CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAISAL B KHAN MD (PHYSICIAN OWNER)
(813) 779-9500
Entity
Organization
Contact information
Practice address
633 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 643-0033
(813) 643-3366
Mailing address
633 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 643-0033
(813) 643-3366
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME88294
FL
Other
Enumeration date
10/19/2005
Last updated
05/16/2008
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