Organization
VASCULAR SPECIALISTS OF CENTRAL FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES S THOMPSON M.D. (OWNER)
(407) 648-4323
Entity
Organization
Contact information
Practice address
80 W MICHIGAN ST, ORLANDO, FL 32806-4453
(407) 648-4323
(407) 839-1493
Mailing address
80 W MICHIGAN ST, ORLANDO, FL 32806-4453
(407) 648-4323
(407) 648-0968
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77005
BC/BS OF FL ID NUMBER
FL
01
—
CK4843
RAILROAD MEDICARE ID NUMB
FL
Enumeration date
01/16/2006
Last updated
05/06/2011
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