Organization
VASCULAR AND THORACIC SURGERY OF CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY C PHIPPS (OFFICE MGR)
(407) 628-1300
Entity
Organization
Contact information
Practice address
180 S KNOWLES AVE, SUITE 1, WINTER PARK, FL 32789-7009
(407) 628-1300
(407) 628-2788
Mailing address
180 S. KNOWLES AVENUE, SUITE 1, WINTER PARK, FL 32789-7009
(407) 628-1300
(407) 628-2788
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME40876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068017600
—
FL
Enumeration date
06/07/2006
Last updated
03/16/2010
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