Organization
CARDIOVASCULAR SURGEONS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN E DICKSON (ADMINISTRATOR)
(407) 425-1566
Entity
Organization
Contact information
Practice address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
(407) 422-0166
Mailing address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
(407) 422-0166
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0000000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056071500
—
FL
Enumeration date
07/01/2005
Last updated
09/12/2008
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